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Rho Soccorso - raccolta disponibilità test sierologici
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Disponibilità
*
VEN 10/7
LUN 13/7
MAR 14/7
Cognome
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Your answer
Nome
*
Your answer
Data di nascita
*
MM
/
DD
/
YYYY
Luogo di nascita
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Your answer
Cod. Fiscale
*
Your answer
Residenza - via, civico, comune
*
Your answer
Numero tel /recapito tel
*
Your answer
Squadra
*
1sq
2sq
3sq
4sq
5sq
6sq
7sq
diurno
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