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  • Hébergement (1) - 1

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    mohamed med
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    Hébergement (1)-1 (1) (1)

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    6 views1 page

    Hébergement (1) - 1

    Uploaded by

    mohamed med

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Je soussigné(e),

    Nom…………………………………...…..………………………….

    Prénom ………………………………………………………………

    né(e) le……………………..…… à ……………….……………………...………………………

    demeurant
    ………….………………………………..………………………………….…………………..……

    ……………………………………………………………………………………………….…..……

    ……………………………………………………………………………………………….…..……

    certifie sur l’honneur héberger à mon domicile ci-dessus mentionné :


    Mme, Melle, M (*)

    Nom……………………………………..……….......……..….

    Prénom …………………………………………………………

    né(e) le………………………………..……à ……………………………...…………………………

    de nationalité ….………………………………..………………………………….…………..……

    Fait à …………………………………… le……………….…………….

    Signature

    (*) Rayer la mention inutile

    JOINDRE : la photocopie de la carte nationale d’identité ou la carte de séjour, ainsi que la dernière
    facture d’électricité ou quittance de loyer.

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