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Dorm Reservation Form
CJ Lee
2023-10-27T15:48:41+08:00
Dorm Reservation form
Please select one:
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I’m a CGHMC Employee
I’m a CGHMC Resident / Intern / Fellow
I’m a CGH College Student
I’m a CGH College Employee
Others : Please specify
Others
Name
(Required)
First
Middle
Last
Age
Sex
Male
Female
Home Phone No.
Mobile No.
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Email
(Required)
Parents Full Name or Guardian
Contact No.
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Upload Photo
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Accepted file types: jpg, gif, png, pdf, Max. file size: 512 MB.
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