ROCAIC

中華民國農科園區產學協會

Academia-Industry Consortium for
Agricultural Biotechnology Park
ROCAIC Group Membership Application Form

ROCAIC Group Membership Application Form
。Group name 。Tel
。Address 。Date of
establishment
。Corporation
representative
name
。Title
。Numbers of
employees
。Union No.
。Issued by 。Type of business
。First representative
。Name 。Gender male female
。Date of birth 。Identity card no.
。Place of birth 。Educational
background
。Title 。E-MAIL
。Tel 。Working
experience
。Second representative
。Name 。Gender male female
。Date of birth 。Identity card no.
。Place of birth 。Educational
background
。Title 。E-MAIL
。Tel 。Working
experience
。Third Representative
。Name 。Gender male female
。Date of birth 。Identity card no.
。Place of birth 。Educational
background
。Title 。E-MAIL
。Tel 。Working
experience
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