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Application form

According to the Platon Group non-profit organization statues, I'm applying for registered membership.

Firstname & surname
Preffered username
Contact e-mail

Permanent address
Street
City
Postal code
State
Country

Temporary address
Street
City
Postal code
State
Country

Phone
Alternative e-mail
Employment
School, study focus
Language skills
Interests
Computer knowledge
I would like to be included
into the group members mailinglist
Platon Group <platon@lists.platon.sk>

With my signature I engange to fulfil obligations related from Platon Group non-profit organization statues and I also agree with processing my personal information according to Slovak law of private data protection in information systems.

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