2017 國際文化大使報名
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Name in English  英文姓名 *
Name in Chinese  中文姓名 *
Nationality  國籍 *
Period of Visa Validity  簽證到期日期 *
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Date of Birth  出生日期 *
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Sex *
Your Phone Number  您的行動電話 *
Your email  您的電郵 *
Your residential address  您的地址 *
TOCFL Score  華語測驗分數
Mandarin Learning Center  大學校院附設華語文中心 *
Counselor's Name  輔導員姓名 *
Counselor's Phone Number  輔導員行動電話 *
Counselor's Email  輔導員電郵 *
Counselor's Address  輔導員聯絡地址 *
Your YouTube video link  您的 YouTube 影片網址 *
First Choice School  第一志願 *
Second Choice School  第二志願 *
Third Choice School  第三志願 *
I hereby agree to participate in the 2017 Global Culture Ambassador program                               我願意參加2017國際文化大使 *
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