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,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
- Mobility Signature 1 2 Attachment: /var/www/html/wp-content/uploads/wpcf7_uploads/1726130933/mobility_signature_1_2-1764676635.png
- Service Id: 910
