和南寺 華嚴盛會 持誦報名表(信眾自行報名用)
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姓 名 *
出生日期 *
MM
/
DD
/
YYYY
性 別 *
職 業 *
服務機關
學 歷 *
科系/年級
永久住址 *
通訊住址
電 話/行動電話 *
LINE ID
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