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Candidature CHAD collège Jules Simon 22/23
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Nom de l'élève
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Prénom de l'élève
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Date de naissance
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Nom et prénom du responsable légal de l'élève
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Adresse postale
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Téléphone portable
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Téléphone fixe
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Classe
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Établissement fréquenté actuellement
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En quelques lignes, les motivations de l'élève d'intégrer ce dispositif
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