澳洲台灣同鄉會 入會申請表

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* 1. 中文姓名 (請提供全名) Chinese name

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* 2. 英文姓名 English name (please provide your full name)

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* 3. 手機 Mobile

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* 4. 電子信箱 Email

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* 5. 生日 Date of Birth

Date

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* 6. 性別 Gender

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* 7. 住址 Address

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* 8. 職業 Occupation

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* 9. 興趣  Interest/Skills

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* 10. 台灣國籍 Taiwanese Citizenship

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* 11. 怎麼認識澳洲臺灣同鄉會的? How did you hear about us?

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* 12. 會員付款方式 Payment Method

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