東欣音樂短期補習班課程諮詢表
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學生姓名 / Name *
Your answer
學生出生年月日 / Date of birth *
MM
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DD
/
YYYY
性別 / Sex *
聯絡手機 / Cell phone *
Your answer
市內電話 / City-phone
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課程項目 / Course project *
Required
學習經驗 / Learning Experience *
資訊來源 / Information sources *
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