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Adeverinta Medicala Facultate
Adeverinta Medicala Facultate
inscrierea la facultate
Judetul _______________
Nr. carnet sanatate _______________
Localitatea _______________
Unitatea sanitara _______________
ADEVERINTA MEDICALA
Se adevereste ca _______________________________________________________ ,
sexul M / F, data nasterii: anul ____ luna ____ ziua _____ , domiciliat/a in localitatea
_______________ , judetul _______________ , adresa
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__________________________
Se afla in evidenta noastra suferind de:
_______________________________________________________________________
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