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Baby Name Application Form


 Congenital
Family name:  Sex Name words: *

Birthday:

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Birth place: *
  Parents
Father:  Birthday:  *
Occupation:  Education  Specialty  Hobby
Mother:  Birthday:  *
Occupation:  Education Specialty  Hobby
Remark:
  Contact Information
Contact person: *
Address: *
Tel: *
Mobile: *
Email: *
Remittance:
 
Bank: Currency *
Remittance date *
 
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Family name:     Word:
Birth place:
Father:  
Occupation: Education: Specialty: Hobby:
Mother:  
Occupation: Education: Specialty: Hobby:
Remark:
Contact person: Address:
Tel: Mobile: Email:
Remittance: Currency: Bank:
Discount amount:  RMB 
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福州邵长文文化交流有限公司 CHINA ZHOUYI SEMINAR CO., LIMITED
邵长文老师 E-mail:
ROOM C,15F HUA CHIAO COMMERCIAL CENTER,678NATHAN ROAD,MONGKOK,KL HK