Association des Anciens Élèves du Collège Sainte Marie - Subscription

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Identity:

Títol :

Gender: Unspecified Òme Femna

Nom:

First name:

Nickname:

Birth date: (yyyy-mm-dd format)

Birthplace:

Profession:

Contact information:

Adreça :

Vila :

País :

Telefòn :

Mobile phone:

Corrièr electronic:

Galette-related data:

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Other information:

Additionnal fields:

Nom d'épouse pour les femmes mariées.

Nom d’épouse

Nationalité

Dans votre profession, quel est votre fonction ?

Fonction

Lieu d’exercice / Employeur

Date d'arrivé au Collège Ste. Marie (yyyy-mm-dd format)

Date de départ du Collège Ste. Marie (yyyy-mm-dd format)