竹林寺青年团报名表格 Zu-Lin Temple Association Youth Volunteer Group Application Form

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Suitable for youth aged 12-18 适合12-18岁之青年

Name 姓名 *

Nationality 国籍
*

NRIC *

Gender 性别
*

Male 男

Female 女

Undisclosed 不愿透露

Other:

Date Of Birth 出生日期
*

YYYY

Home Address:住家地址
*

Name Of School 学校校名
*

Education Level 教育级别

CCA In School 课外活动项目

Any Physical/Medical Conditions requiring special attention? If yes, please state details under . 如有身体或医药方面必须特别照顾的事项，请注明。

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