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Modulo adesione tampone drive-in Vicovaro
Località San Cosimato, snc
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Nome e Cognome
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Nome e indirizzo dell'istituto
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Classe e sezione
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Luogo e Data di nascita
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Codice Fiscale
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Città residenza
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Selezionare giornata in cui si vuole effettuare il tampone
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30.12.2020
31.12.2020 ( 9:00 -13:00 )
02.01.2021
03.01.2021
04.01.2021
05.01.2021
07.01.2021
08.01.2021
Recapito telefonico
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indirizzo e-mail
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