Baby Name Application Form

Congenital

Family name:

Sex Name words: *

Birthday:

*
( If was born abroad, please fill in foreign time )

Birth place:

Parents

Father:

Birthday: *

Occupation:

Education Specialty Hobby

Mother:

Birthday: *

Occupation:

Education Specialty Hobby

Remark:

Contact Information

Contact person:

Address:

Tel:

Mobile:

Email:

Remittance:

Bank:

Currency *

Remittance date

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Please carefully check the contents:

Family name: 　　　　Word:
Birth place:
Father:　　
Occupation:　Education:　Specialty:　Hobby:
Mother:　　
Occupation:　Education:　Specialty:　Hobby:

Remark:

Contact person: Address:
Tel: Mobile: Email:
Remittance: Currency: Bank:
Discount amount: RMB

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