高雄醫學大學本人/同住者敦睦艦隊接觸、群聚史調查Survey on History of Cluster and Contact with the Crew Members and Trainees of Taiwan's Navy Vessels
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姓名Name *
職號Employee No. (臨時工請填000, 000 for temporary worker) *
身份Identity *
單位 (計畫人員請選計畫主持人所屬單位)Division/College (project personnel please specify your PI's) *
同住者或接觸者是否有被(左營)海軍召回Has anyone living with you or had contact with you been called back by the Navy for disease test? *
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