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Date :

APPLICATION FOR NEW AND OLD MEMBER IN AJAYAL HEBBARIEH ASSOCIATION
FIRST NAME LAST NAME DATE OF BIRTH PLACE OF BIRTH NAME OF RAKM AL SEJEL FATHER NAME OF BLOOD GROUP MOTHER

EDUCATION
MS BT TS BS

OTHER CERTIFICATE

KIND OF JOB

LOCATION OF JOB

Old and New member in Ajyal Hebbarieh Association are asked to fill this application

TELEPHONE NUMBER

E-MAIL

NB: New applicants can’t considered as effective member in Ajyal Hebbarieh Association unless he/she be informed through SMS The applicants can leave this application after filling it at the center of ajyal hebbarieh association in Mohammed Yassine’s home President signature

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