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東吳物理捐款意願書
填寫時間:約5分鐘
表單內容取自東吳大學捐款單，個人資料僅使用於捐款，
不會將資料外流，且捐款完成後會將資料全部刪除。
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基本資料
捐款人芳名
*
Your answer
畢業系級 (系/級)
*
Your answer
手機號碼
*
Your answer
E
-
mail
*
Your answer
身分證字號/統一編號
*請提供身分證字號，以簡化個人綜合所得稅申報作業
*
Your answer
出生日期
MM
/
DD
/
YYYY
服務單位/職稱/電話
Your answer
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