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嘉義市有事青年節活動-有事青年探索員報名表
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請勾選報名的梯次。
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10月21日
10月22日
請寫下您就讀的學校年級班別與科別。
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Your answer
請寫下您的姓名。
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Your answer
請寫下您的生日(意外險投報用),格式年-月-日(民國年)
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Your answer
請寫您的身分證字號(意外險投報用)。
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Your answer
請問您的生理性別。
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女
男
請寫下您的Email-address(課程表與注意事項通知)
Your answer
請寫下您的手機號碼(緊急事件通知用)
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Your answer
請問您當天用餐的葷素。
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葷
素
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