2018年「農業青年大使新南向交流計畫」錄取者資訊填寫
1.報名序號 *
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2.姓名 *
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護照資訊
3.是否有護照(護照效期須為6個月以上) *
4.中文姓名 *
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5.英文姓名(與護照相同) *
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6.護照號碼 *
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7.護照有效期限 *
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飲食需求
8.葷/素 *
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Polo衫尺寸
將為每位團員製作Polo衫
9.尺寸選擇
名片資訊
將為每位團員印製名片
10.電子郵件 *
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11.電話
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12.行動電話
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緊急聯絡人資訊
13.姓名 *
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14.關係 *
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15.電話 *
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15.電話 *
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16.行動電話 *
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