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DRENIGOV memorial, Ljubljana, 6., 7. april 2013
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Memorial of Drenig 2013, Ljubljana, 6th and 7th of April 2013
Ime/ First name
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Your answer
Priimek/ Last name
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Your answer
Naslov/ Address
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Poštna številka/ Zip Code
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Your answer
Pošta/ Town
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Your answer
Mail
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Your answer
Drustvo/ Organisation
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Your answer
Ime psa/ psice/ Name of the dog
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Your answer
Skoten/ Date of birth
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Your answer
Spol/ Sex
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Choose
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M/M
Ž/F
Pasma (kratica)/ Breed
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Your answer
Vpis v SLR/ Stud book number
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Your answer
Številka čipa/ Chip number
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Your answer
Tetovirna številka/ Tatto number
Your answer
Številka delovne knjižice/ Scoorbook number
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Your answer
Prijavljam po programu: / I apply for competition:
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IPS-A
IPS-B-Bh
IPS-C
IPO1
IPO2
IPO3
S podpisom potrjujem, da so zgoraj navedeni podatki točni in da bom poravnal nastalo škodo, ki bi jo povzročil pes. Ravno tako bom poravnal štartnino, če se tekmovanja ne bom udeležil. / I confirm, that the data are correct. I will pay the cost of any damage caused by my dog. I will also pay application fee in case I don΄t attend the competition.
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Potrjujem, da so podatki točni. / I confirm, that the data are correct.
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