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Municipal Council of Vacoas-Phoenix Welfare Department Application Form Gymnasium
Municipal Council of Vacoas-Phoenix Welfare Department Application Form Gymnasium
Municipal Council of Vacoas-Phoenix Welfare Department Application Form Gymnasium
WELFARE DEPARTMENT
APPLICATION FORM
GYMNASIUM
SURNAME: ------------------------------------------------------------------------------------------NAME: ------------------------------------------------------------------------------------------------AGE: (NOT TO BE UNDER 15) --------------------------- SEX: MALE/FEMALE
ADDRESS:---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------TEL NO:--------------------------------------------PROPOSED TIME FOR SESSION: FROM : -----------------------TO -------------------(Not to exceed ___ mins per session)
-----------DATE
--------------------------------SIGNATURE
FOR OFFICIAL USE
REMARKS:----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------
DATE
/ndformgymnasium