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R PU BL IQ U E F R AN AIS E L I B E R T G A L I T F R AT E R N I T VILLA DE VALOIS Direction DES Marches Administrative PLE marriages COUPLE Madame Not : Monsieur..............................................................................................................................................................................................................................................
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This is a form used in France for reporting additional information related to healthcare coverage.
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The purpose of this form is to provide detailed information about healthcare coverage for tax and administrative purposes.
Information such as the type of healthcare coverage, coverage period, and insurer details must be reported on this form.
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