Hoja Inscripcion Cursos Arbitro

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GIPUZKOAKO IGERIKETA FEDERAKUNTZA Federación Gipuzkoana de Natación

Anoeta Pasealekua, 5 – 20014 DONOSTIA (Gipuzkoa) Tfno. 943 46 95 36 Fax: 943 46 56 88

http://eusko.net/gif email: gif@euskalnet.net

EPAILE IKASTAROA
CURSO DE ARBITROS

IZEN EMATE ORRIA

HOJA DE INSCRIPCION

IZENA / NOMBRE

ABIZENAK / APELLIDOS

HELBIDEA / DIRECCION

HERRIA / LOCALIDAD K.P. / C.P.

NAN / DNI

TELEFONOA / TELEFONO

IKASTAROAREN HERRIA / SEDE DEL CURSO

IKASTAROAREN DATA / FECHA DEL CURSO

Honekin batera: Adjuntar:

NANaren fotokopia Fotocopia DNI

Karnet neurriko bi argazki Dos fotos tamaño carnet
uzkoana de Natación
36 Fax: 943 46 56 88

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