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Last Name: ___________________________________________________________
First
Name: ___________________________________________________________
Arrival Date:
10th January, 2009
Time:_____________
Final City of Departure
to Paris:________________________
Airline Company /
Flight Number: ___________________ /___________________
Train Number:
_______________________
Bus Number:
________________________
Arriving at:
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Roissy/Charles
De Gaulle
Terminal Number:_____________ |
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Orly
Terminal Number:_____________ |
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Train Station Name: ____________________ |
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Bus Station: ______________________ |
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Telephone: +
__________________________________
(Country code / City code / Number)
Email:
__________________________________
(Please write clearly in capital letters)
Number of family members coming with you:_________
Student's Signature:
Date:
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