報案人資料
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*姓名:
Name |
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性別:
Gender |
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*身分證字號:
Personal ID |
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*現居地址:
Current Address |
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*戶籍地址:
Registered Permanent Address |
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*聯絡電話(住家):
Contact Number (Home) |
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聯絡電話(辦公室):
Contact Number (Office) |
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*行動電話:
Mobile Number |
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*E-Mail: |
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*報案人類別:
Your Role |
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報案內容Case Description
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*發生日期:
Date of Incident |
(例example:2012-01-01)
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*發生時間:
Time of Incident |
(例example:15:00)
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*發生地點:
Location |
(如為他縣市案件,本局將主動轉知該警察局) (if the case belongs to another county or city, the Department will automatically transfer the case to the respective police bureau)
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*案情摘要:
Case Summary |
請簡要摘述勿超過500個中文字(1,000個字元) (若收到「錯誤輸入」訊息,請移除您所輸入的雙引號等特殊字元) Please provide a brief summary of no more than 500 Chinese characters (1,000 bytes) (If you see an “Input Error” message, please remove any special character such as double quotes)
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*請輸入驗證碼:
Please enter verification code |
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附件:
Attachment |
附件上傳總容量限制為20MB(Total size of attachments cannot exceed 20MB)
可上傳格式為pdf, png, jpg, jpeg, tif, tiff, bmp, avi, flv, wma, wmv, mov, mp4
新增附件1 (Attach a file):
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我已閱讀本局【個人資料收集聲明及服務條款】暨相關【隱私權政策】
I have read and agree to the Department’s【Personal Information Collection Statement and Terms of Service】and the【Privacy Policy】
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