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【學者訂房單】北市大國際學人會館訂房單
University of Taipei Internatiaonal  House Registration Form
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本會館會依實際狀況盡快幫您安排,若想了解更多資訊,請掃QR CODE
姓名First Name  Last Name *
身分證字號/護照號碼 (Passport number) *
性別 Gender *
國籍Nationality or Region *
出生日期 Date of Birth *
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DD
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YYYY
電話Telephone *
Email/Line ID
入住日期  Check-in Date *
MM
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DD
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YYYY
退房日期 Check-out Date *
MM
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DD
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YYYY
地址 Home Address *
緊急聯絡人【姓名】  First Name (Last Name) *
緊急聯絡人【電話/信件】 Telephone /E-mail *
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