Application for attendance the scholarship program

APPLICATION

 

SURNAME…………………………… 

FIRST NAME.……………………….

FATHER NAME....……………………

DATE OF BIRTH………………………

ADDRESS:

AVENUE.……………………….….....

POSTAL CODE.……………….…..

AREA.......……………………….……

COUNTRY…………………….……

TELEPHONE……………….…….…

………………………………….………

MOB....……………………………….

FAX……………………………………

e-mail…………………………………..

………………………………………....

COACHING DIVISION:

………………………………………....

GRADUATE:

…………………………………………

DATE OF GRADUATE:

…………………………………………


SUBJECT: Attendance in the scolarship program

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……………………………………

TO G.B.C.A.

  SIGGROU AV. 230

Τ.Κ. 17672 KALLITHES ATHENS

Please accept my application for attendance in the program of scholarships, that organises the G.B.C.A.  for the year........



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

 

WITH HONOUR

APPLICANT 

………………………………………......

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