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Українська мова
Математика
Англійська мова
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Так
Ні
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Призвіще представника
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Ім'я представника
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По-батькові представника
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ПіБ слухача повністю
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ПіБ слухача у родовому відмінку
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Предмети курсів
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Поштовий індекс
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Поштова адрес(вулиця, місто/село, район, область)
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Номер телефона(бажано номер у Viber) +38-
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Серія паспорту
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номер паспорту
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Ким виданий
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Дата видачі
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індифікаційний код
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Комментарии
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Даю згоду на обробку персональних даних
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