Ewidencja Zalacznik

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DALYVIŲ ŽURNALAS

Draugovė
Už laikotarpį nuo iki .
Nr. Vardas Pavardė Gimimo data Adresas (gatvė, miestas) Tel. numeris El. pašto adresas Tėvų (globėjų) Parašas
tel. numeris

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

1
Parengė: , .
(draugovės vado vardas, pavardė) (parašas) (data)

Patvirtino: , .
(tvirtinančio asmens vardas, pavardė) (parašas) (data)

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