2021臺東慢食節《童趣餐桌》實聯制入場登記表

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配合政府防疫政策，臺東慢食節落實「實名登記聯絡制度」。
邀請您在進入活動會場之前，先留下姓名與聯絡電話。

為了照顧自己、保護他人，請務必如實登記！
讓我們一起正向防疫～

In line with the government’s epidemic prevention policies, we adopt the contact-based policy. Please do fill in your personal information before entering the site of Taitung Slow Food Festival.

主要聯絡人姓名 Name *

Passport number (Only for foreigners 外籍人士專用)

連絡電話 (僅供防疫措施記錄，務必填寫正確資訊) Phone number (Only for the record of pandemic prevention. Please fill in the correct information.) *

隨同人數（不含填表人） Accompanying number *

日期 Date *

04/03

04/04

Required

謝謝您的配合！Thank you for your cooperation!

＊依據疾管署實聯制措施指引：
1. 本表單資料僅供因應可能之疫情調查聯繫時使用，不做其他用途。
2. 所蒐集資料將依規定於05/03（慢食節結束28日後）主動統一刪除。

1.The use and method of use of personal data: When collection is required by epidemic control, the collected personal data shall be provided for use in epidemic investigation and contact by the health authorities.
2.We'll retain the collected personal data for only 28 days and voluntarily delete such data immediately by 05/03.

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