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* 1. Name of child?

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* 2. Department?

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* 3. Mark the weeks of holiday for the child

  Week 25 Week 26 Week 27 Week 28 week 29 Week 30 Week 31 Week 32 Week 33
The child is not in kindergarten

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* 4. I confirm that after week 33 the child has a total of 4 weeks vacation from last august?

T