October 2018 2 51 Report

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AMMELDUNG/REGISTRATION

Familiename: ...................................

Vorname.................................................

Nationalitat........................................................

Geburtsdatum. ........................................................

StraBe ...............................................

Postleitzahl/PLZ ...............................................

Wohnort........................................................

Land:..........................................................

Beruf/Satdium ............................................................

Muttersprechen............................................................

Fermdsprachen .......................................................

HAndy...........................................................

Dam naj !!!!!!!!


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