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Фамилия ребёнка
Фамилия ребёнка
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Имя ребёнка
Имя ребёнка
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Отчество ребёнка
Отчество ребёнка
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Дата рождения ребёнка
Дата рождения ребёнка
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Серия свидетельства о рождении
Серия свидетельства о рождении
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Номер свидетельства о рождении
Номер свидетельства о рождении
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Домашний адрес (Например: 692443, г. Дальнегорск, ул. Горького д.95 кв.31
Домашний адрес (Например: 692443, г. Дальнегорск, ул. Горького д.95 кв.31
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Контактный телефон(Например: +79248956123)
Контактный телефон(Например: +79248956123)
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Email(Например: Lok45@mail.ru)
Email(Например: Lok45@mail.ru)
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Фамилия родителя
Фамилия родителя
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Имя родителя
Имя родителя
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Отчество родителя
Отчество родителя
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Территория (Дальнегорск, Приморского края)
Территория (Дальнегорск, Приморского края)
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Школа(МОБУ "СОШ № 8")
Школа(МОБУ "СОШ № 8")
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Согласен на обработку персональных данных
Согласен на обработку персональных данных
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