Formular rregjistrimi
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Data e rregjistrimit
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Klasa respektive
Please Select
Klasa e peste
Klasa e gjashte
Orari 17:00-18:00 E marte-E enjte Komenti juaj
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Te dhenat e studentit
Emri
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Mbiemri
*
Ditelindja
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Please select a month
January
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November
December
Month
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30
31
Day
Please select a year
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2019
2018
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2015
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1920
Year
Gjinia
*
Femer
Mashkull
Kontakti
*
-
Phone Number
Te dhenat e prindit/kujdestarit ligjor
Emri i plote
*
Emri
Mbiemri
Numer celulari
-
Area Code
Phone Number
E-mail
*
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