Professional Documents
Culture Documents
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NUMEI SURNAME ?Ellli PRENUME/FIRST NAME AL..~J:t ~
DATAl LOCUL NA~TERIII DATEI PLACE OF BlRTHl1:- r. oh ~.O'1:-:- .
TARA/COUNTRY RP~.~N\~ .
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CONTESTANT'S REPERTOIRE
(Compozitor, Titlu ~iTimpl Composers, Titles and Time)
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Anexez I fEnclose:
a)C.V.
b) certificat de nastere/ Birth certificate
c) chitanta de achitare a taxeil copy of the receipt of the Application fee
LEI (la cursul de schimb al zilei): IBAN: R076BTRLRONCRTOV00042201
EURO: IBAN: R061BTRLCRTEUROV0004220J
BANCA TRANSIL VANIA - Bucuresti, Romania
Asociatia culturala "HARISME", C.I.F. 18494829
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Data Q~J.$)q,emnAturaiSigna~ %'~tura parintilor/ Parentssignaturforminor.,.(:J--