level 1&2 코스 추천서 신청합니다.

<table width="701" class="txc-table" style="border: currentColor; width: 701px; height: 467px; font-family:; font-size: 9pt; border-collapse: collapse;" border="0" cellspacing="0" cellpadding="0"><tbody><tr><td style="border-width: 1px; border-style: solid; border-color: rgb(151, 220, 32) rgb(210, 238, 161) rgb(151, 220, 32) rgb(151, 220, 32); width: 50%; color: rgb(0, 0, 0); background-color: transparent;" rows="1" cols="1">소속</td><td style="width: 50%; color: rgb(0, 0, 0); border-top-color: rgb(151, 220, 32); border-right-color: rgb(151, 220, 32); border-bottom-color: rgb(151, 220, 32); border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-top-style: solid; border-right-style: solid; border-bottom-style: solid; background-color: transparent;" rows="1" cols="1"> </td></tr><tr><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(210, 238, 161); border-bottom-color: rgb(210, 238, 161); border-left-color: rgb(151, 220, 32); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: rgb(241, 255, 216);" rows="1" cols="1"> 성명 ( 한글 )                                </td><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(151, 220, 32); border-bottom-color: rgb(210, 238, 161); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(241, 255, 216);" rows="1" cols="1">장아영 </td></tr><tr><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(210, 238, 161); border-bottom-color: rgb(210, 238, 161); border-left-color: rgb(151, 220, 32); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: transparent;" rows="1" cols="1"> 성명 ( 영문 )</td><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(151, 220, 32); border-bottom-color: rgb(210, 238, 161); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: transparent;" rows="1" cols="1">Jang A Yeong </td></tr><tr><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(210, 238, 161); border-bottom-color: rgb(210, 238, 161); border-left-color: rgb(151, 220, 32); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: rgb(241, 255, 216);" rows="1" cols="1"> 휴대폰 번호</td><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(151, 220, 32); border-bottom-color: rgb(210, 238, 161); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(241, 255, 216);" rows="1" cols="1">010-4561-9814 </td></tr><tr><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(210, 238, 161); border-bottom-color: rgb(210, 238, 161); border-left-color: rgb(151, 220, 32); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: transparent;" rows="1" cols="1"> 면허번호 및 취득년도</td><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(151, 220, 32); border-bottom-color: rgb(210, 238, 161); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: transparent;" rows="1" cols="1"> 54189 / 2015년</td></tr><tr><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(210, 238, 161); border-bottom-color: rgb(210, 238, 161); border-left-color: rgb(151, 220, 32); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: rgb(241, 255, 216);" rows="1" cols="1"> 소속기관 ( 직장명 )</td><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(151, 220, 32); border-bottom-color: rgb(210, 238, 161); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(241, 255, 216);" rows="1" cols="1"> 호남권역재활병원</td></tr><tr><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(210, 238, 161); border-bottom-color: rgb(210, 238, 161); border-left-color: rgb(151, 220, 32); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: transparent;" rows="1" cols="1"> 이메일 주소</td><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(151, 220, 32); border-bottom-color: rgb(210, 238, 161); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: transparent;" rows="1" cols="1"> <a href="mailto:jay9814@naver.com">jay9814@naver.com</a></td></tr><tr><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(210, 238, 161); border-bottom-color: rgb(210, 238, 161); border-left-color: rgb(151, 220, 32); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: rgb(241, 255, 216);" rows="1" cols="1"> Basic course 이수년도 월 / 일년번호 ( 써티 우측상단 번호 )</td><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(151, 220, 32); border-bottom-color: rgb(210, 238, 161); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(241, 255, 216);" rows="1" cols="1"> 2015년 8월 9일 / NO. J15-B71</td></tr><tr><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(210, 238, 161); border-bottom-color: rgb(210, 238, 161); border-left-color: rgb(151, 220, 32); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: transparent;" rows="1" cols="1"> Part A and B course 이수년도 월 / 일년번호 </td><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(151, 220, 32); border-bottom-color: rgb(210, 238, 161); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: transparent;" rows="1" cols="1"> 2015년 9월 20일 / NO. J15-P49</td></tr><tr><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(210, 238, 161); border-bottom-color: rgb(210, 238, 161); border-left-color: rgb(151, 220, 32); border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; border-right-style: solid; border-bottom-style: solid; border-left-style: solid; background-color: rgb(241, 255, 216);" rows="1" cols="1">환자섭외가능여부 ( 유 / 무 )                 </td><td style="width: 50%; color: rgb(0, 0, 0); border-right-color: rgb(151, 220, 32); border-bottom-color: rgb(210, 238, 161); border-right-width: 1px; border-bottom-width: 1px; border-right-style: solid; border-bottom-style: solid; background-color: rgb(241, 255, 216);" rows="1" cols="1"> 무</td></tr><tr><td style="border-width: medium 1px 1px; border-style: none solid solid; border-color: currentColor rgb(210, 238, 161) rgb(210, 238, 161) rgb(151, 220, 32); color: rgb(0, 0, 0); background-color: transparent;" rows="1" cols="1">소속시도회 </td><td style="border-width: medium 1px 1px medium; border-style: none solid solid none; border-color: currentColor rgb(151, 220, 32) rgb(210, 238, 161) currentColor; color: rgb(0, 0, 0); background-color: transparent;" rows="1" cols="1"> 전남도회</td></tr><tr><td style="border-width: medium 1px 1px; border-style: none solid solid; border-color: currentColor rgb(210, 238, 161) rgb(210, 238, 161) rgb(151, 220, 32); color: rgb(0, 0, 0); background-color: rgb(241, 255, 216);" rows="1" cols="1"> 환급받을 계좌번호</td><td style="border-width: medium 1px 1px medium; border-style: none solid solid none; border-color: currentColor rgb(151, 220, 32) rgb(210, 238, 161) currentColor; color: rgb(0, 0, 0); background-color: rgb(241, 255, 216);" rows="1" cols="1"> 국민 789402-01-419959</td></tr><tr><td style="border-width: medium 1px 1px; border-style: none solid solid; border-color: currentColor rgb(210, 238, 161) rgb(151, 220, 32) rgb(151, 220, 32); color: rgb(0, 0, 0); background-color: transparent;" rows="1" cols="1">코스 신청하실 지회 </td><td style="border-width: medium 1px 1px medium; border-style: none solid solid none; border-color: currentColor rgb(151, 220, 32) rgb(151, 220, 32) currentColor; color: rgb(0, 0, 0); background-color: transparent;" rows="1" cols="1"> 경남도회</td></tr></tbody></table>