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2018 Startup, Starts Now! Entrepreneurial Summer Camp 青年創業交流營
Please fill in the application form in English. 以下報名資訊請以英文填寫
 Personal Information Protection Notification 個人資料保護告知書 *
First Name 名字 *
Last Name 姓氏 *
Chinese Name 中文姓名 *
If you don't have an Chinese Name, please fill in N/A. 無中文姓名者請填N/A
Gender 性別 *
Required
Date of Birth 生日 *
MM
/
DD
/
YYYY
E-mail Address 電子郵件信箱 *
Nationality 國籍 *
ID No. / Passport No. 身分證號碼 / 護照號碼 *
For Taiwanese, please provide your personal ID number. For foreigner, please provide your passport number. 具中華民國國籍者請填寫身分證字號，外籍人士請填寫護照號碼
Mailing Address 通訊地址 *
Please leave your current residential address. 請填寫現居地址
School Attending 就讀學校 *
Department 科系 *
Student Status 學籍 *
Status 身分 *
Dietary 飲食習慣 *
(可複選)
Required
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