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2013人權教案研習會報名表
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* Indicates required question
欲報名之場次
*
彰化 7/6 賴和紀念館
Required
姓名
*
Your answer
任職單位
*
Your answer
聯絡電話
*
Your answer
電子信箱
*
Your answer
是否需要教師研習時數
*
是
否
身份證字號(需要研習時數者必填)
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