Soccercise Starz
25 March 2019
Student first name *
(As it will appear on the certificate)
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Student last name *
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Student ID Number, Passport number or Date of birth *
For Date of Birth please write out the full date. E.g. 12 January 1990. If your ID number starts with a 0 then please put a ' before the ID number. E.g. '0003065553084
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Student cellphone number
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