Анкета учня (основні данні)

                           П.І.Б____________________________________________________________________

                           Тел.____________________________________________________________________

                           Дата народження:_________________________________________________________

                           Паспорт(свідоцтво)________________________________________________________

Іден. код:____________________________

Адреса прописки______________________________________________________________________

Адреса місця проживання:______________________________________________________________

Освіта:_______________________________________________________________________________

Склад сімї:____________________________________________________________________________

• Мати:_________________________________________________________________________________________________________________________________________________________
• Батько:________________________________________________________________________________________________________________________________________________________
• Інші:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Захоплення________________________________________________________________________________________________________________________________________________________________

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Різне:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________