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身分別
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身分別
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學生
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Section 2 of 4
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學生
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申請人姓名/年級/班級
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申請人姓名/年級/班級
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請修項目
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請修日期
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請修數量
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請修物品位置
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損壞情形(請盡可能詳細填寫)
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損壞情形(請盡可能詳細填寫)
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Section 3 of 4
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導師
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申請人姓名/班級
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申請人姓名/班級
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請修項目
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請修項目
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請修日期
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請修日期
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請修數量
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請修數量
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請修物品位置
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請修物品位置
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Number
Text
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損壞情形(請盡可能詳細填寫)
*
Question
損壞情形(請盡可能詳細填寫)
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Section 4 of 4
Section title (optional)
行政同仁
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潘信秀姓名
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潘信秀姓名
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行政同仁處室
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教務處
學務處
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請修項目3b男廁 小便池隔板
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請修項目3b男廁 小便池隔板
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請修日期
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請修日期
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請修數量
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請修數量
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Remove
Number
Text
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請修物品位置
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請修物品位置
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Remove
Number
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損壞情形(請盡可能詳細填寫)
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身分別
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學生
申請人姓名/年級/班級
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請修項目
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請修日期
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請修數量
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請修物品位置
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損壞情形(請盡可能詳細填寫)
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導師
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請修項目
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損壞情形(請盡可能詳細填寫)
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行政同仁
潘信秀姓名
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行政同仁處室
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請修項目3b男廁 小便池隔板
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請修日期
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請修數量
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