P R I S T U P N I C A

Ime i Prezime:________________________________________________________

Datum rodjenja:_________________, Mjesto rodjenja:________________________

JMG:_________________________, Nacionalnost:__________________________

Adresa:____________________________________, Opstina:_________________

Telefon:_________________, Mobitel:__________________, Fax:______________

Elektronska posta (e-mail)__________________________, Broj L.K.:____________

Strucna sprema (zaokruziti): 1.OS, 2.SSS, 3.VS, 4.VSS

Zanimanje:__________________________________________________________

Zaposlenje:__________________________________________________________

Radno mjesto:________________________________________________________

Ostale napomene:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

U:________________________ ___. ___. 201__.

Potpis clana:

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