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[]
["藍新科技股份有限公司"]
["藍新金流服務平台"]
["會員資料異動申請表"]
[" ",{"$nulls":17},"填寫日期：",{"$nulls":6},"年",null,null,"月",null,null,"日"]
["會員編號",{"$nulls":11},"會員名稱"]
["申請人",{"$nulls":11},"聯絡電話"]
["行動電話",{"$nulls":11},"傳真號碼"]
["電子郵件"]
["變更項目",{"$nulls":7},"原資料",{"$nulls":11},"異動後資料"]
["個人會員資料",null,"個人會員名稱"]
[null,null,"出生年月日"]
[null,null,"身分證字號(限修改一次)"]
[null,null,"會員帳號(限修改一次)"]
[null,null,"手機號碼(限未驗證)"]
[null,null,"電子郵件"]
["企業會員資料",null,"企業會員名稱"]
[null,null,"公司統一編號(限修改一次)"]
[null,null,"代表人姓名"]
[null,null,"代表人身分證字號"]
[null,null,"管理者帳號(限修改一次)"]
[null,null,"管理者電子郵件"]
["銀行帳戶資料",null,"證號"]
[null,null,"戶名"]
["會員提領機制",{"$nulls":7},"自動提領 (請勾選下方1~4項)",{"$nulls":11},"自動提領 (請勾選下方1~4項)"]
[{"$nulls":8},"1.帳戶有餘額即進行提領",{"$nulls":11},"1.帳戶有餘額即進行提領"]
[{"$nulls":8},"2.餘額達                              ",{"$nulls":6},"元提領",{"$nulls":4},"2.餘額達                              ",{"$nulls":6},"元提領"]
[{"$nulls":8},"3.於下列指定天期提領(每週)\n   一      二      三      四      五      六      日",{"$nulls":11},"3.於下列指定天期提領(每週)\n   一      二      三      四      五      六      日"]
[{"$nulls":8},"4.於下列指定天期提領(每月)",{"$nulls":11},"4.於下列指定天期提領(每月)"]
[{"$nulls":9},"1","2","3","4","5","6","7","8","9","10",null,null,"1","2","3","4","5","6","7","8","9","10"]
[{"$nulls":9},"11","12","13","14","15","16","17","18","19","20",null,null,"11","12","13","14","15","16","17","18","19","20"]
[{"$nulls":9},"21","22","23","24","25","26","27","28","29","30","31",null,"21","22","23","24","25","26","27","28","29","30","31"]
[{"$nulls":8},"手動提領",{"$nulls":11},"手動提領"]
["會員登入IP設定",{"$nulls":8},"清除已設定之登入IP"]
["【異 動 原 因】"]
[]
["檢附\n資料",null,null,"個人會員",{"$nulls":4},"個人會員申請資料異動須檢附「身分證正反面影本」為修改依據。"]
[null,null,null,"企業會員",{"$nulls":4},"企業會員申請資料異動須檢附「商工登記公示資料網站之查詢結果畫面」為修改依據。"]
[null,null,null,"企業會員",{"$nulls":4},"企業會員申請異動代表人身分證字號須檢附「身分證正反面影本」為修改依據。"]
[null,null,null,"全會員",{"$nulls":4},"申請異動銀行帳戶戶名者需檢附「存摺影本」為修改依據。"]
["會員注意事項"]
[{"$nulls":16},"會\n員\n簽\n章\n欄\n位"]
["1. 本申請表填妥後，請傳真至(02)2786-3306，或郵寄至：\n115台北市南港區南港路二段97號8樓\n「藍新科技(股)有限公司　客服中心」收。"]
["2. 本申請表送件之個人會員需親自簽名及蓋章、企業會員需蓋\n公司大小章並由申請人簽名完成，方可提出申請。"]
["3. 資料異動後，其他權利義務依會員條款為主且不得抵觸。"]
["4.本公司有異動條件最終審核權利。",{"$nulls":16},"    個人會員本人親簽 / 企業會員申請人簽名：\n"]
[{"$nulls":16},"2021-03-10"]