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Formular
de inscriere in baza de date – voluntari –
Nume ___________________________________________________________ Prenume ________________________________________________________ CNP___________________
Data nasterii (zz/ll/aaaa) _____________
Strada _________________________________________________________ Nr. __________
Bl. __________
Sc. __________
Ap. __________
Cod postal ___________ Judet _____ Localitate __________________ Telefon _________________________________________________________ Adresa de e-mail _________________________________________________
Data ____________________ Semnatura ___________________________ Adaugati mai multe randuri in cazul in care aveti nevoie.
Domenii de interes Cultura Sport
Arte Mediu l inconjurator
Asociația YELLOW SHIRTS Adresa: Str. Iza, nr. 3/3, cod 430073, Baia Mare, România Tel. mobil: +4 0741 249 264 e-mail: yellow_shirts_ro@hotmail.com
YE L L OW SH I R T S
Sanatate Minoritati Persoane cu dizabilitati Media si comunicare Anti - discriminare Egalitatea intre sexe Altele (care):
Drepturile Omului Cetatenie Activa Dezvoltare Rurala Democratie Dialog inter - religios Combaterea Saraciei
Motivatie
Cunostinte lingvistice Limba materna: ________________________ Alte limbi si nivelul in ceeace priveste vorbitul si intelesul (0 – deloc si 5 – excelent) Limba
Niv el
Limba
Niv el
Limba
Niv el
Asociația YELLOW SHIRTS Adresa: Str. Iza, nr. 3/3, cod 430073, Baia Mare, România Tel. mobil: +4 0741 249 264 e-mail: yellow_shirts_ro@hotmail.com
YE L L OW SH I R T S
Participari anterioare la alte actiuni _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ______________________________________________
Hobbyuri _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ______________________________________________
Alte lucruri despre tine _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ______________________________________________
Asociația YELLOW SHIRTS Adresa: Str. Iza, nr. 3/3, cod 430073, Baia Mare, România Tel. mobil: +4 0741 249 264 e-mail: yellow_shirts_ro@hotmail.com
YE L L OW SH I R T S
Va multumim pentru timpul acordat! Fii indraznet! Fii Yellow Shirts!
Asociația YELLOW SHIRTS Adresa: Str. Iza, nr. 3/3, cod 430073, Baia Mare, România Tel. mobil: +4 0741 249 264 e-mail: yellow_shirts_ro@hotmail.com