上課地點

現金/支票號碼

PARTICIPANT 參與者（學員)

NAME：                                                          中文姓名：                                  

英文地址

ADDRESS：                                                                                                     

地址：                                                                                                            

畢業或就讀學校

PRESENT/FORMER SCHOOL：                                                                            

APPLICANT申請人（家長或監護人）

英文姓名

NAME：                                                          中文姓名：                                  

身份證號碼   

ID. CARD NO.：                                                                 AGE：                     

住宅地址

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