JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2024ko udan hezitzaile izateko galdetegia
2024ko udan gurekin hezitzaile aritu nahi baduzu, bete ondorengo galdetegia eta harremanetan jarriko gara.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Izen-abizenak
*
Your answer
NAN zenbakia
*
Your answer
Jaioteguna
*
MM
/
DD
/
YYYY
Etxeko telefonoa
Your answer
Telefono mugikorra
*
Your answer
Helbidea
*
Your answer
Herria
*
Your answer
Posta Kodea
*
Your answer
Gizarte Segurantzako afiliazio zenbakia
*
Your answer
Kontu Korronte zenbakia
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ttakun Kultur Elkartea.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
