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GAEILGE INIS MEÁIN
Clárú
Ainm an Pháiste / Child's Name
Dáta Breithe / Date of Birth
Seoladh / Address
Ainm Tuismitheoir nó Caomhnóir / Name of Parent or Guardian
Uimhir Teagmhála / Contact Number
Seoladh rÃomhphoist / Email address
Ar aghaidh / Next
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