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SAMPLE

Founders of Moscow Region Branch of All-Russia Sports and Social Organisation
All-Russia Yun Chun Quan Federation

Full name

Date of birth

Address, telephone

Passport №

Signature

1

Ivanov Ivan Ivanovich

01.01.1970

1/1 Kosa Street, Zhukovskiy City, 123456.

IIIXX – KK, № 654321, issued 01.01.1990 OVD of Zhukovskiy City.

Signature

2

Petrov Petr Petrovich

01.01.1960

2/20 Kosa Street, Zhukovskiy City, 123456.

IIIXX – KK, № 654368, issued 01.01.1980 OVD of Zhukovskiy City.

Signature

3

Sidorov Sidr Sidorovich

01.01.1978

3/30 Kosa Street, Zhukovskiy City, 123456.

IIIXX – KK, № 654368, issued 01.01.1999 OVD of Zhukovskiy City.

Signature

 

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