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Atto Di Assenso Form
Birth)
(prov)
on
(gg/mm/anno – date of birth)
cittadino/a _______________________________________________________________________,
citizenship
residente a ______________________________________________________________________,
residing at
(via, numero civico, cap, città, comune, prov. - complete address.)
genitore dei seguenti minorenni: parent of the following minors:
COGNOME e NOME
LUOGO DI NASCITA
DATA DI NASCITA
(surname & name)
(place of birth)
(gg/mm/anno - date of...
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