Appartenance መዝገብ ኣባልነት
l መዝገብ ኣባላት 
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Nom et Prénom ሙሉእ ስም *
Rue et Nombre *
Districts *
Téléphone fixe ናይ ገዛ ተለፎን
Téléphone Portable ተንቐሳቓሲ ተለፎን (ሞባይል)
e-mail
Seulement si vous êtes marié ብ ሰብ ሓዳር ዝምላእ
ንሰብ ሓዳር ዝምልከት
Nom et prénom de l'épouse/du mari ሙሉእ ስም ብዓልቲ/ብዓል ቤት
Sexe ጾታ *
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Téléphone fixe ናይ ገዛ ተለፎን
Téléphone Portable ተንቐሳቓሲ ተለፎን (ሞባይል)
e-mail
Date de naissance ዕለተ ልደት ደቕና
ሓበሬታ ወይ መልእኽቲ
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