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የጠፋ ሰነዶች(የተሰረቁ ንብረቶች) የማመልከቻ ማስረጃ መስጫ ፎርም ቁጥር 002/02

ቁጥር______________________

ቀን________________________

ለ ኢሚግሬሽን ዜግነት አገልግሎት

አዲስ አበባ

__________________________በ_____________ዓ.ም ከቀኑ/ከምሽቱ_______ሰዓት ላይ

መደ ዋቤ ቀበሌ;ዶዶለ ክ/ከተማ ወረዳ______________________ልዩ ቦታው______________________አከባቢ

_____________________________________________________________________________________
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_____________________________________________________________________________________
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የሆነው የጠፋብኝ/የተሰረቀብኝ ብለው ያመለከቱና በመዝገብ ቁጥር _____________________ያስመዘገቡ መሆኑን


እናረጋግጣለን።

ከሠላምታ ጋር

ስም_____________________________________ፍርማ______________________ቀን_______________
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