SWEDEX

Anmlningsblankett registration form

Swedex B1 X

Swedex A2

Ort ______clubescandinavo BARCELONA_

Centre

Examensdatum _____________________

Examination date

Namn / Name _RALF SPINDELDREHER

Texta - / Block letters, please

Fdelsedatum /Born __1976-04-25

r/mnad/dag Year/month/day

Fdelseort / Place of birth ___ARNSBERG, TYSKLAND

Adress /Address _____CALLE BETRAN 40 BAJOS 5, ___08023BARCELONA______
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Telefon /Telephone: _________0034 619827856______
Home

Work

E-mail: ______ralfbcn@hotmail.com_______________________________
Kopia av mitt pass / personbevis bifogas. A copy of my passport / birth certificate is attached.

______________________________
Ort och datum /Place and date

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Namnunderskrift /Signature

OBS! Anmlan r bindande! / The registration is binding