Israel Antiquities Authority

הודעה של אספן לפי סעיף 23(א) לחוק העתיקות

Id / Company Number.			Last Name / Company Name

First Name			Father's Name

Foreign Citizenship			Passport Number

Home Phone Number			Mobile Phone Number

Address of the Collector
City			Street
House Number			Zip Code

Address where the artifacts are stored
City			Street
House Number			Zip Code

Date when became collector
remarks

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