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  <TR>
    <TD width=3D"100%"><FONT size=3D5 face=3DArial><B>
      <P align=3Dleft>Jag ans=F6ker h=E4rmed om modersm=E5lsundervisning<B=
R>enligt=20
      f=F6ljande f=F6r l=E4s=E5ret ______________</P></B></FONT>
      <DIV align=3Dcenter>
      <CENTER>
      <TABLE border=3D1 cellSpacing=3D0 borderColor=3D#000000 width=3D590 =
height=3D64>
        <TBODY>
        <TR>
          <TD bgColor=3D#ffffff height=3D60 vAlign=3Dtop borderColor=3D#00=
0000><FONT=20
            face=3DArial><B>
            <P align=3Dleft>Modersm=E5l (ett spr=E5k som talas dagligen i =
hemmet)</P>
            <P></B></FONT>&nbsp;</P></TD></TR></TBODY></TABLE></CENTER></D=
IV><FONT=20
      size=3D2>
      <P></FONT>&nbsp;</P>
      <DIV align=3Dcenter>
      <CENTER>
      <TABLE border=3D1 cellSpacing=3D0 borderColor=3D#000000 width=3D590>
        <TBODY>
        <TR>
          <TD bgColor=3D#ffffff height=3D19 vAlign=3Dtop width=3D"61%"=20
            align=3Dleft><FONT face=3DArial><B>Elevens efternamn och tillt=
alsnamn
            <P></B></FONT>&nbsp;</P></TD>
          <TD bgColor=3D#ffffff height=3D19 vAlign=3Dtop width=3D"39%"=20
            align=3Dleft><FONT face=3DArial><B>Personnummer</B></FONT></TD=
></TR>
        <TR>
          <TD bgColor=3D#ffffff height=3D38 vAlign=3Dtop width=3D"61%"=20
            align=3Dleft><FONT face=3DArial><B>Utdelningsadress</B></FONT>=
</TD>
          <TD bgColor=3D#ffffff height=3D38 vAlign=3Dtop width=3D"39%"=20
            align=3Dleft><FONT face=3DArial><B>Telefon
            <P></B></FONT>&nbsp;</P></TD></TR>
        <TR>
          <TD bgColor=3D#ffffff height=3D56 vAlign=3Dtop borderColor=3D#00=
0000 colSpan=3D2=20
          align=3Dleft><FONT face=3DArial><B>Postnummer och ortnamn
            <P></B></FONT>&nbsp;</P></TD></TR>
        <TR>
          <TD bgColor=3D#ffffff height=3D19 vAlign=3Dtop width=3D"61%"=20
            align=3Dleft><FONT face=3DArial><B>Skola
            <P></B></FONT>&nbsp;</P></TD>
          <TD bgColor=3D#ffffff height=3D19 vAlign=3Dtop width=3D"39%"=20
            align=3Dleft><FONT=20
      face=3DArial><B>Skol=E5r</B></FONT></TD></TR></TBODY></TABLE></CENTE=
R></DIV>
      <P align=3Dcenter><FONT size=3D2><I>Ifylls av f=F6r=E4lder</I></FONT=
></P><FONT=20
      face=3DArial><B>
      <P>F=F6r=E4lders underskrift</P>
      <P>&nbsp;</P>
      <P align=3Dleft>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8=
230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..&#8230;&#8230;&#8230;.&#82=
30;&#8230;&#8230;..&#8230;&#8230;&#8230;&#8230;.&#8230;&#8230;&#8230;&#823=
0;</P></B></FONT>
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      <CENTER>
      <TABLE border=3D1 cellSpacing=3D0 borderColor=3D#000000 width=3D590>
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        <TR>
          <TD vAlign=3Dtop><FONT face=3DArial><B>Skickas till
            <P></B></FONT>&nbsp;</P></TD></TR></TBODY></TABLE></CENTER></D=
IV><FONT=20
      face=3DArial><B>
      <P></B></FONT>&nbsp;</P>
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      <CENTER>
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        <TBODY>
        <TR>
          <TD vAlign=3Dtop align=3Dmiddle>
            <P align=3Dleft><FONT face=3DArial><B>Sista anm=E4lningsdag</P>
            <P></B></FONT>&nbsp;</P></TD></TR></TBODY></TABLE></CENTER></D=
IV><FONT=20
      size=3D2><I>
      <P align=3Dcenter>Ifylls av=20
rektor</I></FONT></P></TD></TR></TBODY></TABLE></CENTER></DIV>&nbsp;</BODY=
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