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女童軍服務報名表 Service Guide Application Form
只限領袖填寫
*領袖及隊長姓名和電話、隊員姓名會轉交服務機構作當天活動之聯絡用途
Fill by Guider only
*Information of Guiders and Guide members are for contact purpose on or prior to the event day only
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* Indicates required question
隊號 Unit
*
Your answer
領袖姓名 Name of Guider
*
Your answer
領袖電郵 E-mail address of Guider
*
Your answer
領袖電話 Contact Number of Guider
*
Your answer
服務名稱 Service Name
*
Your answer
服務日期 Service Date
*
MM
/
DD
/
YYYY
服務女童軍人數 Number of Service Guides
*
Your answer
服務女童軍隊長姓名 Leader's Name
*
Your answer
服務女童軍隊長聯絡電話 Contact Number of Leader
*
Your answer
其他服務女童軍姓名 Name of Other Service Guides
Your answer
備註 (如旗站編號/服務時段等; 如沒有請填N/A) Remarks (such as flag station number/service time slot; Just fill N/A if remarks is unnecessary)
*
Your answer
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