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QUADRO 1: DATI GENERALI E ANAGRAFICI DELL' ALUNNO
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* Indicates required question
CLASSE FREQUENTATA
*
Choose
1A - Montebelluna
1B - Montebelluna
1C - Pieve
COGNOME ALUNNO
*
Your answer
NOME ALUNNO
*
Your answer
DATA DI NASCITA
*
INSERIRE LA DATA DIRETTAMENTE
MM
/
DD
/
YYYY
LUOGO DI NASCITA
*
Your answer
CITTADINANZA
*
Your answer
CITTA'
*
Your answer
RESIDENTE IN VIA
*
Your answer
PROVINCIA
*
Your answer
Telefono casa
Your answer
Telefono Genitore1
Your answer
Telefono Genitore2
Your answer
Telefono Alunno
Your answer
E-mail Genitore1
Your answer
E-mail Genitore2
Your answer
E-mail Alunno
Your answer
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