KA 1 Youth Exchange Project 9th – 19th July 2017 Ukmergė, Lietuva
Name
First Name
Last Name
Date of Birth
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Day
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Month
Year
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Address
Street Address
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City
State / Province
Postal / Zip Code
E-mail
Phone Number
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Area Code
Phone Number
Nationality
Special needs
Previous experience (Please describe your experience connected to the topic)
Motivation (Why would you like to participate in this project?)
Language Abilities (English)
poor
good
very good
excellent
Sei già tesserato/a a SOS Europa nel 2017?
SI
NO
Autorizzo il trattamento dei miei dati personali ai sensi del Decreto Legislativo 30 giugno 2003, n. 196 “Codice in materia di protezione dei dati personali
SI
NO
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