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DOSSIER DE PRÉINSCRIPTION pour les enfants de la ... - Balma

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<strong>DE</strong>MAN<strong>DE</strong> <strong>de</strong> DÉROGATIONEcole <strong>de</strong>mandée : ____________________________________________________________Motif <strong>de</strong> <strong>la</strong> <strong>de</strong>man<strong>de</strong> :__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Cadre réservé au Service – Ne rien inscrireSecteur : ____________________________Affectation : _________________________S : ______________F : ______________CC : _____________DD : _____________

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