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101年度語言治療師公會秋季旅遊 保險資料
請各位會員填寫基本資料,以方便進行保險,謝謝大家!
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會員姓名
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會員出生年月日
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會員身份證號碼
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1.會員親友之姓名、出生年月日、身份證號碼
範例:張cc / 770913 / Q222333345
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2.會員親友之姓名、出生年月日、身份證號碼
範例:張cc / 770913 / Q222333345
Your answer
3.會員親友之姓名、出生年月日、身份證號碼
範例:張cc / 770913 / Q222333345
Your answer
4.會員親友之姓名、出生年月日、身份證號碼
範例:張cc / 770913 / Q222333345
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5.會員親友之姓名、出生年月日、身份證號碼
範例:張cc / 770913 / Q222333345
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