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2021-22史丹福長壽中心設計競賽亞洲區大賽 2021-22 Stanford Center on Longevity Design Challenge Asia(此Google表單不代表已經完成初選報名，請詳閱競賽辦法與繳交其他初選報名資料。)
此Google表單為線上報名以利主辦單位初步掌握團隊狀況和後續傳達競賽訊息之用，不代表已經完成初選報名，請詳閱競賽辦法與繳交初選資料，連結： https://reurl.cc/a9NXN4。This Google sheet is for further contact only, in order to finish the application of the primary, please read the instruction and submit the requested application material. Link: https://reurl.cc/a9NXN4
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電子郵件 Email *
團隊基本資料 Basic Information
設計作品名稱 Design Title *
團隊負責人姓名 Team Leader's Name *
團隊負責人聯絡電話 Team Leader's Phone Number         *
例如：0912345678
團隊負責人聯絡地址 Team Leader's Address *
團隊負責人國籍Team Leader's Nationality *
團隊負責人學校Team Leader's School *
團隊負責人科系Team Leader's Department *
團隊負責人年級Team Leader's Grade *
如非在校學生，請寫「已畢業」, 並註明目前工作單位
團隊負責人畢業年月Team Leader's Graduation Year and Month *
 *例如:2021年6月
如何得知競賽訊息？Where do you get the information of DCAsia? *
Required
如為系上老師告知本競賽訊息,請問老師任教科系與姓名？(自由填答) Continue from the previous question, if informed by a teacher, please provide the name of the teacher(optional)
團隊總人數 Total Number of Team Members *
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