Медицинская информация о ребёнке Medical information about a child
Сведения о ребёнке / Information about a child
Имя Елена Михайловна
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LENA |
Фамилия Андрусевич
Last Name Andusevich |
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Дата рождения 07-04-97 |
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Место жительства ул.Дружбы 88 д. Ольшаны Столинский р-н Брестская обл. 225557 Беларусь Home address Druzhby str. 88 Belarus OLSHANY Brest oblast, Stolin reg. Belarus (Wit–Rusland)
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Фамилия и адрес гостевой семьи
Address:
Telephone:
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Медицинские сведения / Medical information
Name: Docter Guest family: Adress: Telephone: |
Name Dentist Guest family: Adress: Telephone: |
Name Apotheek: Adress: Telephone: |
Дата пребывания в Нидерландах |
Имя и подпись члена комитета
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(achterkant)
1
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Andrusevich Alena f 07.04.97 Number of children in the family: 2 Home name: Lena |
Mother: Tamara, nurse by profession, currently a housewife. Father: Mikhail, currently unemployed. Sister: Ekaterina, 8 years old. Character: the girl is good tempered, disciplined, always eager to help. Fond of: playing sport games, drawing, likes small children, likes studying, reading books, goes to music school. Swimming: can swim. Cycling: likes cycling.
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