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/ 板橋時光 / 第五屆踩集街區工作營 報名表單
生日及身份證字號作為旅遊平安保險用。
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姓名 Name
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Your answer
系級 Department & Grade
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Your answer
學號 Student ID Number
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Your answer
連絡電話 Phone Number
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Your answer
生日 Birthday
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MM
/
DD
/
YYYY
身份證字號 ID Number
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Your answer
飲食狀況 Diet
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葷食 Non-vegetarian
素食 Vegetarian
得知本活動管道
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課堂老師 Teachers
同學、朋友 Classmates or Friends
工作人員 Staff
Facebook粉絲專頁 Facebook Fans Page
脫殼版 SCU Talk
海報 Posters
擺台宣傳 Promotion
Other:
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參加原因 Reasons for Participation
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Your answer
曾經參加過此活動
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2017 第一屆 萬華
2017 番外篇 金瓜石
2017 第二屆 民生社區、中山雙連
2018 第三屆 康青龍、溫羅汀
2019 第四屆 西門
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