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校园性侵害防治工作坊报名表格
日期:2014年8月2日(星期六)
时间:早上9点至下午5点30分
地点:加影新纪元学院 Lot 5, Seksyen 10, Jalan Bukit , 43000 Kajang, Selangor.
讲师:林燕卿教授
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姓名(中)
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姓名(英)
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请采用大写字母
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身份证号码
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例:651213-08-6784
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性别
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男 Male
女 Female
通讯地址
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手机号码
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例:012-3456789
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电邮地址 E-mail
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26/7-30/7将寄报到通知
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最高学历(学校)
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最高学历(科系)
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工作说明
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餐点
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荤 Non-vegetarian
素 Vegetarian
缴费方式
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缴费数额
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例:RM100
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备注
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会员 RM100
非会员 RM150
学生 RM100 (请附上学生证明)
参加期待
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