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MODULO RICHIESTA SKILL CARD
IPSEOA CERVIA - TEST CENTER ECDL
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Email
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E-MAIL NON SCOLASTICA
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COGNOME
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NOME
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DATA DI NASCITA
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LUOGO DI NASCITA
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STATO DI NASCITA (SE ESTERO)
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CODICE FISCALE
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INDIRIZZO DI RESIDENZA
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CITTA' DI RESIDENZA
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CAP
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RECAPITO TELEFONICO
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SCOLARITA'
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STATO CIVILE
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OCCUPAZIONE
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DATA DELLA RICHIESTA
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YYYY
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