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Date amp?! ______________________ _______________________ 簽 名 日 期。出生年月及地址: State of health健康狀況: State of Marital婚姻狀況: Height身高: Weight體重: Eyesight視力: IC. No. /Passport : Political Affiliation政治面貌:(Party member黨員) (League Member團(tuán)員) Nationality國籍: Nation民族: Origin place籍貫: Tel電話:(Home家) (Office辦公室) Other connection way其它聯(lián)系方法:(BP呼機(jī)) ?。∕obile Phone手機(jī)): Residence address家庭住址: Type of drivin