Voters list
Statement

Please fill this form and send it to the Municipality of Korthi

(e-mail: municipality@korthi.gr, fax: +30-282-61419)

 

S T A T E M E N T

 

MUNICIPALITY OF KORTHI   
MUN. DISTRICT:
(FORMER COMMUNITY) 		  
SEX:  MALE
FEMALE
LAST NAME:   
FIRST NAME:   
FATHER'S NAME :   
MOTHER'S NAME:   
FAMILY NAME: (only for women married before 1983)   
SPOUSE FIRST NAME:   
SPOUSE LAST NAME:   
SPOUSE FATHER'S NAME:   
DATE OF BIRTH:   
PLACE OF BIRTH:   
IDENTITY CARD NUMBER:   
RESIDENCE:  Street:
  Number:
  City-Area:
  Postal Code:

 

Ormos ..............................

(date)

 

(signature)

 

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