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2019年國際青年大使報名表單
Email address *
姓名(中文全名) *
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性別 *
目前就讀學校全名(如國立交通大學...) *
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目前就讀科系全名(如電機工程學系) *
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聯絡電話(以行動電話為佳) *
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報名專長組別 *
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