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義工申請表格
誠邀加入成為本會義工---接納．尊重．互助．互愛．讓缺陷的生命勇往直前
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申請者基本資料
姓名 (中文)
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Your answer
姓名 (英文)
Your answer
性別
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男
女
出生日期
MM
/
DD
/
YYYY
聯絡電話 (手機)
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Your answer
聯絡電話 (住址)
Your answer
電郵
Your answer
居住地區
*
Your answer
詳細地址
Your answer
職業
*
Your answer
緊急聯絡人電話
Your answer
與緊急聯絡人關係
Your answer
得知本會訊息來源
*
網頁
宣傳單張 / 刊物
親友/ 醫生 / 機構介紹 (請於「其他」註明)
Other:
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