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This document appears to be part of a student's school registration form for Sint-Jan Berchmanscollege located at Kasteellaan 18, 2390 Malle. It requests the student's name and class.

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Sint-Jan Berchmanscollege, Kasteellaan 18, 2390 Malle
Naam : ..............................................................................
Klas : ……………….
____________________________________________________________________________

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Sint-Jan Berchmanscollege, Kasteellaan18, 2390 Malle Naam : .............................................................................. Klas : ………………. ____________________________________________________________________________