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  1.  
  2.  
  3. ……………………………………………..
  4. (Unterschrift des Schülers)
  5.  
  6.  
  7.  
  8.  
  9. Note: _____________
  10. Punktzahl: _____________
  11.  
  12.  
  13.  
  14.  
  15. ……………………………………………..
  16. (Unterschrift des Kursleiters)
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