新北市中華中學107年度新生入學報名系統
○招生洽詢電話:(02)22693641轉162或127
○學校網站:http://www.chsh.ntpc.edu.tw/
○校址:23677新北市土城區城林路二號
○交通方式:位於65快速公路五股土城線、捷運土城站或永寧站步行約10分鐘
基本資料
學生姓名(Full Name): *
Your answer
學生性別(Gender): *
聯絡地址(Address): *
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出生日期(Date of Birth): *
年/月/日
MM
/
DD
/
YYYY
目前就讀學校(Current School): *
Your answer
家長姓名(Full Name of the Parents): *
Your answer
與學生關係(Relationship to Student): *
填表人與學生之間的關係
Required
聯絡資訊(Contact information):
住家電話(home):
例如:(XX)XXXX-XXXX,請照格式輸入
Your answer
家長手機(Mobile): *
例如:09XX-XXX-XXX,請照格式輸入
Your answer
電子信箱(E-mail): *
Your answer
如何得知本校訊息?How did you learn about our school?(可複選) *
Required
介紹人( Refered by Whom):
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訊息發送對象(To whom should messages be addressed?): *
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