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    liszczenkosofia

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    KWESTIONARIUSZ OSOBOWY

    UCZEŃ PRZYJĘTY

    w roku szkolnym 2024/2025

    do VI Liceum Ogólnokształcącego im. I. J. Paderewskiego

    …………………………………………………………………………………………….........…………......………………………………………..……………...............................................…………..……..……. klasa ……………..............…………


    (imię i nazwisko ucznia)

    PESEL

    data urodzenia ....................................................................... miejsce urodzenia ................................................................

    Adres zamieszkania ucznia:

    ULICA ............................................................................................................nr ....................................................................

    MIEJSCOWOŚĆ .......................................................................... KOD ……………………………………………………..

    Telefon kontaktowy ucznia

    Imię i nazwisko matki

    Telefon kontaktowy

    Imię i nazwisko ojca

    Telefon kontaktowy

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