תשובות לשאלון – ניידות
טופס ההגשה המלא – ניידות
- Mobility Personal Info Id 1: 304370653
- Mobility Personal Info Surname 2: ברונובסקי
- Mobility Personal Info Name 3: דימיטרי
- Mobility Personal Info Birthday 4: 31/01/1988
- Mobility Personal Info Full Address 5: אברבנאל 74א 222222
- Mobility Personal Info Full Mail 6: 123456789
- Mobility Personal Info Full Landline 7: 048741582
- Mobility Personal Info Full Mobile 8: 0542528831
- Mobility Personal Info Full Mobile 9: 0542528834
- Mobility Personal Info Limited Yes 1 1: כן
- Mobility Personal Info Checkup 3: מחוזית פתח תקווה
- Mobility Personal Info Hospitalization Date 4: 15/01/2025
- Mobility Personal Info Hospital Name 5: בילינסון
- Mobility Personal Info Hospital Department 6: גריאטרית
- Mobility Personal Info Hospital Social Security 7: ביטוח לאומי תל אביב
- Mobility Personal Info Drivers License Yes 8 1: כן
- Current Date: 02/12/2025
- Mobility Signature 1 2: data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAASwAAABkCAYAAAA8AQ3AAAAIf0lEQVR4Aeydz3HUTBBHVcTBjRsJcCQBOHGDCxFABCTADYIgAZKABPDJN+fxfbyt6qq20NqyvZJ6Zh5FM3+knel+PfNbSQj87Pr6+j9NBq4B10ALa+DZ5C8JSEACjRBQsBpJlG5KQALTpGANtAoMVQKtE1CwWs+g/ktgIAIK1kDJNlQJtE5AwWo9g/ovgSUCnfYpWJ0m1rAk0CMBBavHrBqTBDoloGB1mljDkkCPBBSspazaJwEJlCSgYJVMi05JQAJLBBSsJSr2SUACJQkoWCXTolP7EXCmlggoWC1lS18lMDgBBWvwBWD4/xL4/fv39P79++nFixfT9+/f/z3BnsMIKFiHoXfiagRCpCgRLfz79u0bhVaEwBMFq0gUuiGBJxLgSipEKoZ69erV9OPHj2haFiCgYBVIgi4cSwCxml9JPX/+/CRWiNax3jl7JqBgZRrWhyQwFysgvHv3jkIrRkDBKpaQwu506RpXV/PAPn/+PH369GnebbsAAQWrQBJ04RgCPFxfurryNvCYfKyZVcFaQ8lzuiOAWM0fshPkly9fJgULEjVNwaqZF73akADvVy2JFX8j+PHjxw1nbmfoqp4qWFUzo18XJ4BIIVZLAyNWXlktkanVp2DVyofebESAh+vcBs6HR6Sur6+9DZyDKdpWsIomRrcuRwCxWnq4zt8GcmV1uZkcaWsCCtYGhB2yDoG7xMpXF+rkaa0nCtZaUp7XHIElsYpbQMWquXSeHFawThj8oycC8XA93wYiVNz+YT3FOlosCtZoGe88Xq6q8sN1hIp/ZoNQUb94+A64KwEFa1fcTrYlAYRqflXFg/WvX79uOa1j70hAwdoRtlNtQyBuASljBoTKq6qg0U+pYPWTy+EiQaC4qsJy8AiVD9UzkX7qxwpWPxyNZGcC8awK0YqpeUblS6BBo89SwVqRVzZFGBvlnMU5DJnrtLXLEIArV1T5WRUjxy0gda1fAsMLFhsAYxMsGf/2LPezUc5ZnJc/Qz0shI75+l1S20UGPxhnfiFU3gJux73SyEMKFguehY+QUGL0LdklkxVCx3yvX78+/UQWNuEl56g71uM9gxG5gl+Mwu1fPKuiHv2WfRMYRrAQI4SChU9J+67Usgmwly9fTrzHQz0b3+y5TT3Gy/Xom5c3NzcTGxDDJzbl/JyR2+QHJrCBUbCALUKFUY9+yzEIdC1YLHrEiUVPSTunlQWPsfgxHtiG0cZ+/vw58R4P9WzcguQ29fzZqEfJ8RC57EPU2ZT4ySbFon+0khyRKwwmOX74wZGc5X7r4xDoUrDyoqee08li53+VZOGH0Yfl8y5dZ/wQOUSMzbc0B5sUY8OOIlzkiHgRbEramQ2sYAa/3G+9LIHNHOtKsFjoLHiMelBDLLAQKP5XSdpx/IiSzccmZDNicx/wH+FiE2OIFzY/r9U28ZEnYqOknWMhP+QLRrDKx6yPS6ALwWKxs+gx6pHOWPQsfIx2HKtSshkxRAs75xfihb19+3bKMZ47v2I/fpOjMNrZT/KTr35p5+PWJdC0YLHglxY/Cx2Bwqi3kGZEC+OK4i7h+vPnz0TMrVxtkSN8xWeMNpZzQo7IFVbh6jf7Zr0WgWYFKzZBXvx54VOvhXq1N6efiYdwsYERL2weD1dbMFg/6j5nkg8McQrDV/qyB8RDfBEn7XzcugSWCDQnWCx8nnuwCSIgFjuLH6Me/a2XxMJVF0Zs3C7RF3HBABbxThdssDi+dclcYYgTvlBi0Z99wHfiCKOdj1uXwH0EmhEsNgAbAYugWPAjLX5ul4iXK65gQBnvdMEGQzjCcvvNmzen20n61hhjzD9DX1geg/zgSzbyg+FzvpKiL59nXQJrCZQXLDbChw8fThuNOoGx4NkEGHX6RrK44kK4eLH1rtiDGedcXV2dHtjTt8aWPkPfkpEH/OElW/ISAkWdY0ufsW+aZPAwAmUFi+czfJPzLf7r169TVCx8NgBG/dQ56B/Ej3DxYivigFiEcWxuCBtikvsDXe6b1/kM49JPmY08YMxPiT+8ZMu5MbalBC5JoJRg8a2PQCFUPJ+JQNkksSncDEHldolYhCEec0PYEJPcD1Ms983rfIZx6afMRi6w257YksB2BEoIVggVYkU9wg2hYpNEn6UEJDAugUMFC3FCpDDqpIFvbL7N+ea/T6g4X5OABMYhcJhg8YxqSagQK0RrnBQYqQQksJbAYYIVokSJSGHU1zrueRKQwHgEDhUsbvsUqvEW3aMi9kMS+EvgMMH6O7e/JSABCTyIgIL1IFyeLAEJHElAwTqSvnNLQAILBM53KVjn2XhEAhIoRkDBKpYQ3ZGABM4TULDOs/GIBCRQjICCVSwhT3fHESTQLwEFq9/cGpkEuiOgYHWXUgOSQL8EFKx+c2tk/RMYLkIFa7iUG7AE2iWgYLWbOz2XwHAEFKzhUm7AEmiXwMiC1W7W9FwCgxJQsAZNvGFLoEUCClaLWdNnCQxKQMEaNPGjhW28fRBQsPrIo1FIYAgCCtYQaTZICfRBQMHqI49GIYEhCKwSrCFIGKQEJFCegIJVPkU6KAEJBAEFK0hYSkAC5QkoWOVTtLODTieBwgQUrMLJ0TUJSOA2AQXrNg9bEpBAYQIKVuHk6JoEtiXQ3ugKVns502MJDEtAwRo29QYugfYIKFjt5UyPJTAsAQXr0an3gxKQwN4EFKy9iTufBCTwaAIK1qPR+UEJSGBvAgrW3sSdr0UC+lyEgIJVJBG6IQEJ3E9AwbqfkWdIQAJFCChYRRKhGxKQwP0E9hCs+73wDAlIQAIrCChYKyB5igQkUIOAglUjD3ohAQmsIKBgrYDkKesJeKYEtiSgYG1J17ElIIGLElCwLorTwSQggS0JKFhb0nVsCfRM4IDYFKwDoDulBCTwOAL/AwAA//9iFmU6AAAABklEQVQDAGV2x/ozNSI2AAAAAElFTkSuQmCC
- Mobility Signature 1 2 Attachment: /var/www/html/wp-content/uploads/wpcf7_uploads/1726130933/mobility_signature_1_2-1764676635.png
- Service Id: 910
