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Formularz rezygnacji z dożywiania
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1. Nazwisko i imię ucznia
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2. Oddział szkolny
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klasa 1a
klasa 1b
klasa 2
klasa 3
klasa 4
klasa 5
klasa 6
klasa 7
klasa 8
3. Data rezygnacji
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4. Uwagi
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