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申辦恐龍卡
(Dinosaur Card Application)
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請填寫真實的證件號碼

※為節省您的時間,已引用先前留存的姓名、生日、性別,若需修改請告知服務人員。 To save time, your previously applied data (including name, date of birth, and sex) are used. Please inform the curator if you need to update the data.

請填寫真實姓名
西元年/月/日(例:2000/01/01)
請填寫行動電話或市話號碼(例:0910-123456或04-23226940或04-23226940#596)
請填寫有效的Email(例: example@nmns.edu.tw) 重要通知使用,建議填寫