교황님 DMZ 방문 청원
이름 Name (한국어 Korean) *
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이름 Name (영문 English)
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세례명 Baptism Name: (천주교 신자인 경우)
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주소 Address
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소속단체 Affiliation
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연락처 (손전화) Mobile Phone No *
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전자 메일 주소 E-mail address *
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