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A0 kurz ČJ UL-XXVII
vyplňte formulář a klikněte na ODESLAT
/ fill in the form and click on ODESLAT (SEND) button /
заповніть форму та натисніть ВІДПРАВИТИ
pište latinkou
/ use Latin alphabet / писати латинським алфавітом
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* Indicates required question
Jméno / Name / Iм'я
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Your answer
Příjmení / Surname /
Прізвище
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Your answer
Datum narození / Date of Birth /
Дата народження
*
MM
/
DD
/
YYYY
Telefonní číslo / Telephone Number /
Телефон
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Státní příslušnost / Nationality /
Громадянство
*
Ukrajina / Україна
Vietnam / Việt Nam
Mongolsko / Монгол
Rusko / Россия
Bělorusko / Беларусь
Other:
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