The Sierra Leone Community NRW e.V. The Sierra Leone Community NRW e.V. c/o Kreuzer / Mirjamhaus Friedrich-Lange Str. 1-3 45356 Essen Unity and Progress The Sierra Leone Community NRW e.V. c/o Kreuzer / Mirjamhaus Friedrich-Lange Str. 1-3 45356 Essen [email protected] www.slc-nrw.org REGISTRATION FORM OF THE SIERRA LEONE COMMUNITY NRW e.V GERMANY Surname : First Name : Address : Tel / E-mail : Nationality : Date Signature of Member For official use only Registration Status : Registration Number : Date of registration : The Sierra Leone Community NRW e.V. Handelsregister Amtsgericht Essen HRB 5264 Gemeinnütziger Verein Steuer-Nr.: 111/5727/3461 Commerzbank Düsseldorf IBAN: DE10300400000113019401 BIC: COBADEFFXXX Konto Nr.: 11 30 19 401 BLZ: 300 400 00 The Sierra Leone Community NRW e.V. c/o Kreuzer / Mirjamhaus Friedrich-Lange Str. 1-3 45356 Essen www.slc-nrw.org
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