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«师道领导力» 东马第三十四期 (民都鲁站) 课程报名表格
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姓名 (根据身份证) FULL NAME (AS PER NRIC) *
请用大写字母填写 PLEASE FILL IN USING CAPITAL LETTERS
Your answer
中文姓名 CHINESE NAME *
Your answer
身份证号码 NRIC NO. *
例如 EXAMPLE: 881225135678
Your answer
出生日期 DATE OF BIRTH *
Day / Month / Day
MM
/
DD
/
YYYY
性别 GENDER *
手机号码 HANDPHONE NO. *
例如 EXAMPLE: 60123456789
Your answer
膳食 MEAL *
公司/学校名字 COMPANY@SCHOOL NAME *
请以英文填写 PLEASE FILL-IN IN ENGLISH
Your answer
电子邮件 E-MAIL *
Your answer
邮寄地址 MAILING ADDRESS *
Your answer
职业 OCCUPATION *
城市 CITY *
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推荐人 RECOMMENDED PERSON *
Your answer
推荐人联系号码 RECOMMENDED PERSON PHONE NO *
例如 EXAMPLE: 60123456789
Your answer
报名热线 REGISTRATION HOTLINE
欲知详情,请联络 / FOR MORE INFO, PLEASE CONTACT:-
CHONG POH GUEK 013-837 7013
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