Forma Endametiy                                                                             

Dem,Mj: .................

 

Bi v nameya xwe, ez daxwaz dikim, ku 

di NAVENDA P.E.N. A KURD  de bibime endam.  

Pnav: ........................................................................................
 
Panav: ........................................................................................

E-Mail : .........................................................................................


Tel.     : .........................................................................................


Berhemn apkir:

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Endamn ku min pniyar dikin:


1. .............

2. .............................................................

Ez endametiya xwe ya salek bi kmay 60   bidim. Navnana Konto:
Kurdisches PEN-Zentrum, Navenda PENa Kurd e. V.;
Dresdner Bank, Konto-Nr. 4 757 403 00, Blz.: 700 800 00


Destnan:

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apkirin

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