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ROLCC 新人 登記表 Registration
Year 2024
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Email Address 電郵地址
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英文全名 English Full Name(若沒有英文名，請填n/a)
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中文全名 Chinese Full Name
*
Your answer
性別 Gender
*
男 Male
女 Female
手機 Cell Phone
*
including area code like 408-260-0257
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城市 City
*
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郵遞區號 Zip Code
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年齡層 Age Group
*
13 - 22
23 - 29
30 - 39
40 - 49
50 - 59
Over 60
是否受洗成為基督徒? Are you baptized?
*
已受洗 Yes
未受洗 No
其他資訊 Anything you would like to share (Optional)
任何關於您的事情，您想要分享給我們 (Optional)
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