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Date :
APPLICATION FOR NEW AND OLD MEMBER IN AJAYAL HEBBARIEH ASSOCIATION FIRST NAME LAST NAME DATE OF BIRTH PLACE OF BIRTH
NAME OF RAKM AL SEJEL FATHER
NAME OF BLOOD GROUP MOTHER
EDUCATION MS
BT
TS
BS
OTHER CERTIFICATE
KIND OF JOB
LOCATION OF JOB
Old and New member in Ajyal Hebbarieh Association are asked to fill this application
TELEPHONE NUMBER
E-MAIL
NB: New applicants can’t considered as effective member in Ajyal Hebbarieh Association unless he/she be informed through SMS The applicants can leave this application after filling it at the center of ajyal hebbarieh association in Mohammed Yassine’s home President signature