核果資訊學苑 2019秋季班 報名表
課程詳細資訊請見:

國小生課程:http://nuts.epass2u.com/course-2019FCE.html
國高中生課程:http://nuts.epass2u.com/course-2019FCH.html
學員資料 Student's Information
姓名 Name *
Your answer
性別 Gender *
學校 School *
Your answer
年級 Grade *
請填寫暑假過後的年級。Please fill the grade after this summer vacation.
手機號碼
有自己手機的學生,可填寫自己的手機號碼
Your answer
家長資料 Parent's Information
姓名 Name *
Your answer
連絡電話 Phone Number *
Your answer
通訊地址 Address *
Your answer
電子郵件 Email *
報名訊息等資訊皆透過電子郵件通知,請務必填寫可正常使用之電子郵件信箱。Please make sure the availability of email you filled here.
Your answer
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