Application of Identity card loss



 
APPLICATION





SURNAME……………………………

FIRST NAME.....……………………….

FATHERS NAME…..………………….

DATE OF BIRTH………………………

ADDRESS:

AVENUE…...…………………….......

POSTAL CODE..……………………

AREA.……………………………..

TELEPHONE………………………….

…………………………………………

MOB……………………………….

FAX……………………………………

e-mail…………………………………..



COACHING DIVISION:

………………………………………....

GRADUATE:

…………………………………………

DATE OF GRADUATE :

…………………………………………


SUBJECT: Loss of card





TO G.B.C.A.

  SIGGROU AV. 230

Τ.Κ. 17672 KALLITHES ATHENS

 



WITH HONOUR

APPLICANT 

………………………………………......



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