新北市汐止區長安國民小學人為災害通報單
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1.填報人員 *
2.填報日期 *
MM
/
DD
/
YYYY
Time
:
3.班級 *
4.是否全班到齊 *
5.未到學生姓名(不一定要答，沒有到齊才回答)
6.未到學生原因(不一定要答，沒有到齊才回答)
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