Tennisclub Piding eV

HERZLICH WILLKOMMEN


Bitte senden Sie dieses Antragsformular vollständig ausgefüllt, unterschrieben und mit Kopie Ihres Identitätsnachweises an:

Tennisclub Piding e.V.
Ganghoferstraße 40
83451 Piding

Antragsformular auf Auskunft nach § 34 Bundesdatenschutzgesetz (BDSG)

 

Anrede

(  ) Frau    (  ) Herr

Titel                                                                                                                                                                                 
Nachname                                                                                                                                                                    
Geburtsname                                                                                                                                                              
Vorname(n)                                                                                                                                                                 
Geburtsdatum                                                                              
  (TT.MM.JJJJ)
Geburtsort                                                                                                                                                                   
Straße                                                                                                                                                                            
Hausnummer                                                                                                                                                              
PLZ                                                                                                                                                                                   
Wohnort / Sitz                                                                                                                                                            
Telefon-Nr.                                                                                                                                                                  

Weitere Anschriften (vorherige Anschriften, wenn Sie / Ihre Unternehmung in den letzten zwei Jahren umgezogen sind):

Straße                                                                                                                                                                             
Hausnummer                                                                                                                                                              
PLZ                                                                                                                                                                                  
Wohnort / Sitz                                                                                                                                                            

  

Datum:                                                                              Unterschrift: