第五十三屆會員周年大會 [Zoom直播]
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(1) 英文姓名 Name in English *
(2) 中文姓名 Name in Chinese *
(3) 聯絡電話號碼  Contact Tel. No. *
(4) 工作醫院 / 機構  Employing Organization
(5) 所屬部門 Department
(6) 會員編號  Membership No. *
(7)  Zoom 登入名稱 (作核對登入Zoom之用) *
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