Idħol Membru jew ġedded is-sħubija

fl-Għaqda Ħbieb tal-Presepju Malta

billi timla din il-formola u tibgħatha flimkien

mal-ħlas ta’ €10 lis-Segretarju

Isem: .............................................

Kunjom: ............................................

Indirizz: ...........................................

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Lokalità: ..................... P/Code: ...................

Data tat- Twelid: ................................

Nru. ID Card: .......................................

Nru. Tat-Tel. ................................

Mob: ................................

Email: ................................................................

Firma: ...............................

Data: ................................

Jekk l-applikant/a huwa taħt is-16 il-sena

Isem ġenitur ..........................

Nru. ID Card: .......................................

Firma tal-ġenitur .................................

N.B. L-informazzjoni li int qed tagħti hawn fuq

tista’ tintuża mill-Għaqda Ħbieb tal-Presepju Malta jew aġenti tagħha għal skop ta’ pustaġġ jew statistika

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