Date personale

Copilul: _________________________________________

Data şi locul naşterii: ______________________________

CNP copil: _______________________________________

Numele tatălui: ___________________________________

Numele mamei: __________________________________

Ocupaţie şi loc de muncă tata: ____________________________________________________________

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Ocupaţie şi loc de muncă mama: __________________________________________________________

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Nr. tel. tata: ______________________________________

Nr. tel. mama: ____________________________________

Adresa: ______________________________________________________________________________

Religia: _____________________________________________

Etnia: ______________________________________________

Observaţii: ____________________________________________________________________________

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