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ISCRIZIONE CORSO BLS
Questo modulo potrà essere utilizzato per iscriversi al X corso di PRIMO SOCCORSO organizzato dall'Associazione.
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COGNOME
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NOME
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NATO A
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DATA DI NASCITA
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es. 23/12/1979
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RESIDENTE A
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IN VIA
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CELLULARE/TELEFONO
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EMAIL
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Autorizzo il trattamento dei miei dati personali secondo le vigenti normative.
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