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2018台大醫學營學員繳費後確認表單
學員“繳費完”必填的確認表單
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醫學營給的繳費序號(M+數字 or F+數字)
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Your answer
學員姓名
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Your answer
繳費日期
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MM
/
DD
/
YYYY
繳費方式
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臨櫃匯款
ATM轉帳
若為臨櫃匯款，匯款人的姓名為？(寫在匯款單上的名字)(ATM者填無)
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若為ATM轉帳，帳號末五碼為？(臨櫃者填無)
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其他備註
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