Anetaresimi ne Organizaten “Zgjohu Shqiptar”
| Emri * | ||||||
| Mbiemri * | ||||||
| Datelindja * |
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| Gjinia * | Mashkull Femer | |||||
| Vendbanimi – Shteti * | ||||||
| Vendbanimi – Qyteti/Fshati * | ||||||
| Email * | ||||||
| Telefon * | (Numer fiks ose cel) | |||||
| Numri Personal * | (Nr. i Kartes Identitetit ose Pasaportes) | |||||
| Profesioni | ||||||
| Punesimi | ||||||
| Mendimi Juaj | <br /> Cfare mendoni per “Zgjohu Shqiptar” ? Vleresojme cdo sygjerim tuajin. | |||||
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