旗山國中旅遊史調查表(學生版)
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1.年級: *
2.班級: *
3.座號: *
Your answer
4.姓名: *
Your answer
5.是否有出國: *
Required
6.返國日期:
MM
/
DD
/
YYYY
7.是否赴中國湖北(是者請務必確實居家檢疫14天):
8.是否赴中港澳地區(是者請落實自我健康觀察14天):
9.其他相關通報
Your answer
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