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Nr./..

DOAMNA DIRECTOR,

Subsemnatul(a)
domiciliat n.,str..
,blsc.,apnr.telefon..
posesor a CI seria ..., nr.eliberat
de..la data de.
rog s-mi nscriei / renscriei copilul...........................................
CNPla Grdinia nr.......,grupa.
pentru anul colar 2012 -2013

Data,

Semntura,

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