EUROPEAN MOVEMENT IN SMED. PALANKA

EVROPSKI POKRET U SMED. PALANCI

PTT address: Slobodana Penezica 7/11, 11420 Smed. Palanka, YUGOSLAVIA
Office address: 10. oktobra br. 5, 11420 Smed. Palanka, YUGOSLAVIA
Mobile phone: +381 (0)64/1904460 Office phone/fax: +381 (0)26/323-289
Email addresses: office@evropski-pokret.org.yu  or office@evropski-pokret.org.yu
Web address: www.evropski-pokret.org.yu

Name:

PHOTO

Surname:

Passport number:

Date of birth:

Personal code number:

Sex:

Place of birth:

Place of passport issue:

Date of issue:

Nationality:

Citizenship:

Organisation

Address

Phone

Fax

Email

First choice for the course

Second choice

Accommodation:

A-Hotel B category, Smed. Palanka

B- With a Serbian family

Special diet requirements

Do you need a letter of invitation for obtaining visa?

YES                             NO

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