香港戶山流居合道協會 (Hong Kong ToyamaRyu Iaido Association)
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會員報名表 (Membership Application Form)
中文姓名 *
English Name *
年齡 (Age)  *
國籍 (Nationality) *
身份証號碼 (ID Card No.) *
地址 (Address) *
出生日期 (Date of Birth) *
MM
/
DD
/
YYYY
職業 (Profession)
電話號碼 (Tel. No.)
手提號碼 (Whatapp / Mobile No.) *
性別 (Gender) *
電郵 (Email) *
緊急聯絡人 (Urgent Contact) *
緊急聯絡電話 (Urgent Contact No.) *
關系 (Relationship) *
身高 (Height)
*如需購買道袍請填寫身高(cm) / Please provide you height (cm) if you like to purchase the uniform
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