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安置意向调查

Placement School Registration


除非另外声明,请用英文填写此表格

Unless otherwise stated, please fill out this form in English

  • 安置信息

    Placement Information
  • School Web-site
  • Address
  • Students’ Level
  • 请贵校提供负责实习期间人员的详细信息

    Please provide the detailed contact information of the person in charge of this matter in your school
  • Position
  • Email
  • Daytime Phone
  • Cell Phone (if available)
  • WeChat
  • Admin

  • Date Format: MM slash DD slash YYYY

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Your data will be held securely and used by ImmerQi ONLY.

The information will not be sold to any other 3rd parties.