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HACCP協會-廈門深圳食安知性之旅 報名表
出發日期：6/24-6/29
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姓名
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身分
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個人會員
團體會員
非會員
會員編號(非會員請填無)
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生日
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MM
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DD
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YYYY
護照英文名(例：王小明，WANG,XIAO-MING)
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身份證字號
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國籍
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中華民國
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護照號碼(請檢查護照效期須在6個月以上)
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性別
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男
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血型
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A型
B型
O型
AB型
用餐習慣
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素食
蛋奶素
葷食
市話
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手機號碼
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通訊地址
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電子信箱
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