Adult | : | Student |
First/Given Name | : | Michal |
Middle Name | : | - |
Last/Family Name/Common Name | : | Krumpar |
Preferred name on badge | : | Michal Krumpar |
Gender | : | Male |
Postal Address | : | Skolska 316/80 Nemcice Slovakia |
Phone | : | +421 919 324 692 |
Fax | : | - |
Emergency Phone | : | +421 905 455 521 |
: | miskomichal2009@gmail.com | |
Alternate Email | : | - |
T-shirt Size (Chest) | : | M |
Job Description | : | |
Name of Institute/School/University/Other | : | Gymnazium, Ul. 17. novembra 1180, Topolcany |
Interest | : | - |
Special dietary needs | : | Normal |
Any other relevant info | : | - |
Travel insurance | : | michal_325_Krumpar_Michal_insurance.pdf |
Consent Form | : | michal_consent_325_Krumpar_Michal_consents.pdf |
Payment Proof | : |
Passport No | : | NJ200079 |
Father's/Mother's/Spouse's Name (As given in your passport) |
: | - |
Address on Passport | : | Skolska 316/80 Nemcice |
Nationality (As given in your passport) |
: | Slovakia |
Date of Birth | : | 12-01-2009 |
Place of Birth | : | Topolcany |
Place of Issue | : | Topolcany |
Date of Issue | : | 13-01-2024 |
Date of Expiry | : | 13-01-2034 |
Passport Page Scans | : | michal_325_Krumpar_Michal.zip |