Name:                                                       

Vorname:                                                  

Adresse:                                                    

PLZ/Wohnort:                                           

Geburtsdatum (z.B: 08.06.1987):               

Geschlecht:                                                männlich      weiblich

Schule:                                                        WS KV Chur Quader Chur Kantonsschule GR Andere Schule

Prüfung:                                                      Informatik-Anwender I SIZ

                                                                  Informatik-Anwender II SIZ

Bemerkungen: