Upitnik za roditelje

Ko daje
podatke________________________________________________________________________

Ime i prezime
majke____________________________________________________________________

Zanimanje__________________________________________________________________________
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Adresa
stanovanja______________________________________________________________________

Broj
telefona__________________________________________________________________________

Ime i prezime
oca_______________________________________________________________________

Zanimanje__________________________________________________________________________
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Adresa
stanovanja______________________________________________________________________

Broj
telefona__________________________________________________________________________

Zdravstveno stanje
roditelja____________________________________________________________________________
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Da li roditelji ive
zajedno________________________________________________________________
Opta
zapaanja________________________________________________________________________

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