请以英文大写或中文正楷字体填写本表格。
Please complete the form either in English or Chinese, and print it in BLOCK LETTERS.
填表须知：此表必须用打字机填写。若用笔填写时必须用正楷字体。
INSTRUCTIONS: This form must BE filled out by typewriter, or if by hand in legible block letter.
填表须知：此表必须用打字机填写。若用笔填写时必须用正楷字体。
INSTRUCTIONS: This form must BE filled out by typewriter, or if by hand in legible block letter.
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