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ZAJEDNICA BOŠNJAKA DELAWARE DOLINE - ŠADRVAN

ASSOCIATION OF BOSNIACS OF DELAWARE VALLEY - ABODE


PRISTUPNICA
Glava porodice:

______________ _______________________ __________ _______________ ______________@____________ (_____) ______-________


Ime Prezime God. rodjenja Vjeroispovjest Email Mobilni telefon

Ostali clanovi porodice:

1. _____________ _______________________ __________ _______________ ______________@____________ (_____) ______-________

2. _____________ _______________________ __________ _______________ ______________@____________ (_____) ______-________

3. _____________ _______________________ __________ _______________ ______________@____________ (_____) ______-________

4. _____________ _______________________ __________ _______________ ______________@____________ (_____) ______-________

5. _____________ _______________________ __________ _______________ ______________@____________ (_____) ______-________

6. _____________ _______________________ __________ _______________ ______________@____________ (_____) ______-________

______________________________________________ _____________________ ___________________ _______________


Broj i ulica (Street) Grad (Town, City) Postanski Broj (Zip code) Država (State)

Ovim se obavezujem da ću dati svoj puni doprinos Zajednici , te se pridržavati Statuta i internih pravila Zajednice Bosnjaka Delaware Doline - Sadrvan.

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Potpis Datum

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