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Application form

 

Appendix № 2
to the Regulations on the procedure of competitive
selection of creative works for the issuance of
the State signs of postal payment

Sample

 

Application form
to Joint-Stock Company "Marka"

for the participation in the Contest of creative works

for issuance of the State signs of postal payment

 

1.                           _______________________________________________________________________________________

Type of product and theme

 

2.                           _______________________________________________________________________________________

Last name, first name and patronymic (middle) name of the author 

 

3.                           _______________________________________________________________________________________

Date and year of birth

 

4.                           _______________________________________________________________________________________

Place of Employment (optional)

 

5.                           _______________________________________________________________________________________

Education (optional)

 

6.                           _______________________________________________________________________________________

Detailed postal address (with postcode)

 

7.                           _______________________________________________________________________________________

Contact phone number (with code)

 8.                           _______________________________________________________________________________________

E-mail address



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