ASSOCIAO DE COMBATENTES

DO CONCELHO DE ARGANIL
= PROPOSTA DE SCIO =
Scio N ________
Scio Proponente N ________

Quota:_______,____

Nome: ____________________________________________________________________________
Morada: ___________________________________________________________________________
C. Postal: _______ - _____________________________ Data Nascimento: ______/______/________
Telefone: ____________ T. Mvel: _______________ Email: _________________________________
Prestou Servio Militar:

- Exercito;

- Marinha;

- Fora Area

OBS: ___________________________________________________________________________

______________________________________________________________________________
Arganil, _____/____/______ Assinatura: ____________________________________________