Cerere pentru acordarea permisiunii de a iesi cu fata mea

Nota: Cererea se considera incompleta si va fi refuzata daca nu este insotita de situatia financiara, lista slujbelor detinute si un raport medical semnat de doctor.
Nume:______________________________
Data nasterii:_____________ Inaltime:_________ Greutate: _______
IQ:________ Medie BAC :_______
Telefon: ___________ Permis de conducere :______
Adresa:________________________________________________
Oras: _________________ Judet: _____________Cod postal: ______
Ai un parinte femeie si un parinte barbat ? ____

Daca "NU", explica: ________________________________________

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De cati ani sunt paritnii casatoriti? : ____

Ai frati sau surori? ____

Sunt normali? ____
Detii sau ai acces la o masina ? ____

E aceasta masina tunata? ____

Ai pat cu apa? ____
Ai cercel in ureche, in nas sau in buric? ____
Ai vreun tatuaj ? ____

Daca ai raspuns cu DA la #3, #4 SAU #5, arunca cererea si pleaca imediat!
In maxim 50 de cuvinte, ce inseamna Tarziu pentru tine?

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In maxim 50 de cuvinte, ce inseamna Nu te atinge de fata mea pentru tine?

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In maxim 50 de cuvinte, ce inseamna Abstinenta pentru tine ?

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In maxim 50 de cuvinte, ce inseamna Suferinta crunta pentru tine?

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Data: __________________ Semnatura,