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Inscription

Personal information

Who I am and family

 

Personal information
Country of origin
Name (first and last)
Nickname
Male or female?
Address
Zip code
Personal phone
Mobile phone
Fax particular
Personal e-mail
Date of birth Day Month Year



Social security or I.D. number
Passport number
Food of choice Mixed
Vegetarian
Languages Spoken Understood
 
Can collaborate with translation From:
To:
From:
To:
From:
To:
Participation Member of a movement
Movement sympathizer
Member of a brother cooperative movement
Independent
Accompanying relative (under age)
Accompanying relative (adult)

 

Will you come with family?
My companions are Participants
Non participants
Name of the first companion

Male or female

Age

Occupation

Name of the second companion

Male or female

Age

Occupation

Name of the third companion

Male or female

Age

Occupation

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last modified 24-02-2008 16:13
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