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    Ek 1 Salk Beyan

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    Engin Akcay

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    Ek 1 Salk Beyan

    Uploaded by

    Engin Akcay
    13 views1 page

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    ek_1_salk_beyan

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    13 views1 page

    Ek 1 Salk Beyan

    Uploaded by

    Engin Akcay

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    EK-1

    SAĞLIK BEYANI

    Satranç spor dalında spor yapmaya ve yarışmalara katılmaya sağlık yönünden engel bir
    durumumun bulunmadığını beyan ederim……/……/20…

    BEYANDA BULUNAN SPORCUNUN:

    Adı Soyadı :
    T.C Kimlik No :
    Doğum Yeri ve Tarihi :
    Baba Adı :
    Ana Adı :

    İmzası :

    18 YAŞINDAN KÜÇÜK İSE VELİ/VASİNİN:

    Adı Soyadı :
    T.C Kimlik No :
    Doğum Yeri ve Tarihi :

    İmzası :

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