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LICENSE REQUEST per article 63 (particular causes) Auxiliary Personnel

Place and date………………………………………………………………………..

Mr. Mrs. Director of the EP No.……………..

The undersigned……………………………………………………………………………………………………………….

DNI……………………………………….., who holds the position of ………………………………………..

Holder/Monthly/Replacement; addresses you. For the purposes of requesting a license, the


day

……………………. by article 63, for particular reasons.

………………………………………………………………….

Signature and Clarification of Agent

LICENSE REQUEST per article 63 (particular causes) Auxiliary Personnel

Place and date………………………………………………………………………..

Mr. Mrs. Director of the EP No.……………..

The undersigned……………………………………………………………………………………………………………….

DNI……………………………………….., who holds the position of ………………………………………..

Holder/Monthly/Replacement; addresses you. For the purposes of requesting a license, the


day

……………………. by article 63, for particular reasons.

………………………………………………………………….

Signature and Clarification of Agent

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