The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

三和國小110學年度【新生網路報到作業】
No responses
Loading...
Loading responses…
Copy chart
No responses yet for this question.
★新生出生年月日(填寫方式：西元年/月/日，如 2014/12/25，104年出生為2015年)
Copy chart
No responses yet for this question.
★新生國籍
Copy chart
No responses yet for this question.
★新生身分證字號(護照號碼)
Copy chart
No responses yet for this question.
★新生性別
Copy chart
No responses yet for this question.
★連絡電話:家用(請加區域號碼)
Copy chart
No responses yet for this question.
★父親姓名及手機號碼(如:蔡三和/0971-121***)
Copy chart
No responses yet for this question.
★母親姓名/手機號碼(如:簡五讚/0972-121***)
Copy chart
No responses yet for this question.
★新生出生地(填寫縣市:如嘉義縣)
Copy chart
No responses yet for this question.
★新生戶籍地地址
Copy chart
No responses yet for this question.
★新生現居住地址
Copy chart
No responses yet for this question.
★實際居住地址(請詳細填寫鄉鎮.村里.鄰等資料.與戶籍地同可免填)
Copy chart
No responses yet for this question.
★學生本人是否持有殘障手冊或正在接受身心障礙治療
Copy chart
No responses yet for this question.
★請將戶口名簿內頁拍照上傳(要有學生姓名等)，如不方便可在開學時再繳交。
No responses yet for this question.
★意見交流:其他註記事項或建議事項(有問題請來電諮詢05-295-2145轉15/05-2949120轉02 洽教務處)
No responses yet for this question.
感謝填寫!Thanks! 恭喜! 點選<提交>即完成網路報到!(不必再到學校報到喔!)
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms
.