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嘉大附小學生居家隔離預定陪同者資料調查表
親愛的家長:
因教育部來文需調查,學生居家隔離時,會一同陪伴的家長資料,只需填寫一位,煩請協助填寫以下資料,該資料一定會妥善保管,謝謝您的協助。
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預定陪同者家長資料填寫
請依序填上學生班級座號、家長姓名、出生日期、身分證號、地址、國籍、手機、與學生的關係
學生班級座號
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陪同者姓名
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Your answer
陪同者出生日期(西元年月日)
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MM
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DD
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YYYY
陪同者身分證號
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Your answer
陪同者地址
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Your answer
陪同者國籍
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Your answer
陪同者手機
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Your answer
陪同者與學生的關係
*
Your answer
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