扫码填写或分享
0%
厦门国际学校口腔福利领取表
Xiamen International School Oral Welfare Claim Form
1.您填写的个人资料将严格保密，仅作为核实身份信息使用；
The personal information you provided will be strictly confidential and will only be used for verification of identity information
2.报名成功后工作人员将在3个工作日内与您联系，请保持电话畅通；
After successful registration, the staff will contact you within 3 working days. Please keep your phone open
*
1领取人姓名（已加密，请放心填写）
Name of recipient (encrypted, please fill in with confidence）
*
2领取人联系方式（已加密，请放心填写）
The contact information of the recipient (encrypted, please fill it out with confidence）
*
3您是
*
4方便您看诊的门店
Convenient stores for you to visit
*
5您的牙齿情况
Next to your dental condition
*
6您孩子的口腔情况
Your child's oral condition
隐私政策
龙艺秀提供技术支持举报