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ENREGISTREMENT AUPRÈS DE L'ASSOCIATION PROFESSIONNELLE



Id:

lastname:

firstname:

P_street:

P_pc:

P_city:

P_phone:

P_gsm:

P_email:

B_company:

B_department:

B_street:

B_pc:

B_city:

B_phone:

B_fax:

B_email:

statut:
[Membre honoraire: E; Retraité: R; Actif: A; En formation: F]

sex:


language:


title:


correspondence_werk:
[Bussiness: B; Home: H]

correspondence_privé:
[Bussiness: B; Home: H]

riziv: