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111-1 自主學習計畫申請資料表
本資料表一個團隊繳交一份即可。
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學習計畫名稱
*
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成員 1 姓名 Name of member 1
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若為特才生，請於姓名後標註*
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成員 1 系級 Major of member 1
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E-mail: 成員 1 Member 1
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成員 1 學號 NTU account of member 1
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成員 1 手機 Cellphone number of member 1
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僅供緊急聯絡使用
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是否有其他團隊成員? Are there other team members?
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是
否
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