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1. Date privind solicitantul
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Nume
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Prenume
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Adresa
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Cod postal
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Judetul
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Orasul
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Telefon
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E-mail
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Calitatea solicitantului
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părinte
reprezentant legal
Starea civilă a solicitantului
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căsătorit(ă)
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divorţat(ă)
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