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普圓精舍-
115年企業界禪修班
報名表
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姓名
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法名
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性別
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男
女
是否為新生
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是(初次報名)
否(曾經上過企業班)
生日
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MM
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DD
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YYYY
聯絡電話
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方便聯絡時段
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上午(8:00~12:00)
下午(12:00~18:00)
晚上(18:00~22:00)
皆可
工作單位
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職稱
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介紹人姓名
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介紹人電話
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介紹人稱謂
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請問您的Line帳戶名稱? (方便精舍建立群組聯繫)
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請問您的Line ID? (方便精舍建立群組聯繫)
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緊急聯絡人
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緊急聯絡人電話
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