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台灣台中市 致用高中 僑生班報名表(中英文版)
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國籍*
(Country)
*
Malaysia
Myanmar
Indonesia
Vietnam
Thailand
Cambodia
其他：
性別*
male/female
*
女
男
姓名*
Name
*
Your answer
英文姓名*
English Name
*
Your answer
畢業學校*
Graduate
School
*
Your answer
出生 年/ 月/ 日 *
yyyy / mm/ dd
*
Your answer
是否有身份証明*
Have a ID
Yes
No
Clear selection
Line ID
Your answer
Whats App ID
Your answer
就讀志願*
pilihan
*
烘焙食品科 Dept. of Bakery
資訊科 Dept. of IT
推薦人員
Recommended by
Your answer
推薦人連絡方式
Referrer Contact
Your answer
您的手機/電話
*
Your answer
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