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: תא דואר במת
- 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: תל אביב
- Mobility Personal Info Hospitalization Date 4: 31/01/2025
- Mobility Personal Info Hospital Name 5: בילינסון
- Mobility Personal Info Hospital Department 6: גריאטרית
- Mobility Personal Info Hospital Social Security 7: תל אביב
- Mobility Personal Info Drivers License Yes 8 1: כן
- Current Date: 02/12/2025
- Mobility Signature 1 2: data:image/png;base64,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
- Mobility Signature 1 2 Attachment: /var/www/html/wp-content/uploads/wpcf7_uploads/1726130933/mobility_signature_1_2-1764676635.png
