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Nuwe Lidmaat Vorm
Lidmaatbesonderhede – Ouers - Man
Van:
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Volle Name:
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Noemnaam:
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Identiteitsnommer:
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Huwelikstatus:
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Indien getroud ? Datum:
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Vorige Gemeente:
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Datum ingetrek by ons:
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Beroep:
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Titel:
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Werkgewer:
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Werkgewer:
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Werkstelefoon:
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Selfoon:
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E-Pos:
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Straatadres:
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Posadres:
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Kan ons per Whats App met jou korrespondeer:
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Nee
Gawes en belangstellings:
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