SEPK-BANNER-irakleio-2020

Application for registration of new member

APPLICATION

SURNAME……………………………                       

FIRST NAME………………………….

FATHER NAME……………...……….

DATE OF BIRTH………......…………

ADDRESS:

AVENUE…...…………………….......

POSTAL CODE………………………

AREA.……………………………..

COUNTRY………………………………..

TELEPHONE………………………….

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MOB……………………………….

FAX……………………………………

e-mail…………………………………..

COACHING DIVISION:

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GRADUATE:

…………………………………………

DATE OF GRADUATE:

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SUBJECT: Application for registration of new member

 

TO G.B.C.A.

  SIGGROU AV. 230

Τ.Κ. 17672 KALLITHES ATHENS

 

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ATHENS .....................

 

 


WITH HONOUR

APPLICANT 

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