Name *

Surname *

Patronymic *

Country * Azerbaijan

Address *

Date of birth * 19181919192019211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018

Phone number *

E-mail address *

Social status * Seçin state employeeservantscientisteducatorparamediccultural worker (creative person)clergymanentrepreneurprivate sector workermilitaryreserviststudent (pupil)peasant (farmer)retireehousewifeworkerunemployedothers

Gender
Male Female

Application type
Suggestion Application Complaint

The nature of the appeal
Individual Collective

Appeal *

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