La xidhiidh Maamulka ( مدرسة الضياء )
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Maalinta / Bisha / Sanadka
MM
/
DD
/
YYYY
Magaca / Name / اسم
*
Your answer
Magaca Aabe / achternaam / اسم الاب
Your answer
Lab / Dhidig / الجنسي
*
Wiil
Gabadh
Email
Your answer
Ciwaanka /Address / عوان
*
Your answer
Taleefoon /Phone number / هاتف
Your answer
Wadanka / Country / البلد
Your answer
Magaalada / City / المدينة
Your answer
Namen van broer/zus Magaca Walalah kaley
Your answer
Namen van broer/zus Magaca Walalah kaley
Your answer
Namen van broer/zus Magaca Walalah kaley
Your answer
Betalingswijze/ qabka lacag bixinta
1 arday 10 euro
2 arday 20 euro
3 arday 20 euro
4 arday 30 euro
5 arday 40 euro
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