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ADRA > Nadace ADRA > Cena Michala Velíška > Nominace - koho a jak > Nominační formulář

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Cena Michala Velíška

Nominace

* Takto vyznačená pole jsou povinná


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Vaše údaje

Prohlášení: Zasláním tohoto formuláře ručím za pravdivost uvedených údajů.

Odesláním formuláře souhlasím s poskytnutím osobních údajů ve smyslu § 4 písm. a) zákona
č. 101/2000 Sb., o ochraně osobních údajů.