Common Contracts

2 similar Agreement contracts

AGREEMENT / ACT OF TRANSFER
Agreement • August 21st, 2015

[initials and name of kin deceased patient], a relation of [initials and last name and gender deceased patient] residing at [street name and postcode], Belgium, with, if available, e-mail address:

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AGREEMENT / ACT OF TRANSFER
Agreement • August 21st, 2015

[initials and name of kin deceased patient], a relation of [initials and last name and gender deceased patient] residing at [street name and postcode], Belgium, with, if available, e-mail address:

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