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管理者登入

Personal Information
Name in Chinese(中文)
Name in English(英文)
Birth Place(出生地)
Date of Birth(生日)
select
Sex(性別)
Nationality(國籍)
Home Address(住址)
TEL(電話)
E-mail
Passport(護照)
Do you have R.O.C Passport?
Issue Place發照地點
Number(號碼)
Expiration Date(失效日期)
Parents(父母資料)
  Father(In Chinese) Mother(In Chinese)
Name(姓名)
Office or Company(服務機構)
O.C.Society(參加僑團或僑社)
Relative or Friend for Emergency Contact in Taiwan(Above age 20)(在台親友緊急聯絡人，20歲以上)
Name in Chinese(姓名)
TEL(電話)
Relation(與本人關係)
Office or Company(服務機構)
Position(職稱)
Do you have any of these diseases?是否患有下列疾病？

Please do not apply for admission, if you have any of the above-mentioned diseases or any diseases which amy affect the participation of the tour. If any of the above mentioned diseases is discovered after arriving in Taiwan, the applicant must leave immediately and pay his/her own medical and return expenses.

如患者有上列疾病或其他疾病足以影響活動之進行，請勿申請，抵台後如經發現患有以上疾病，即須退團並自行負擔醫療及返回居留地費用。