Registro Taller "Planificando tu negocio"

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Registro Taller "Planificando tu negocio"

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* Indicates required question

FECHA (dd/mm/aa) *

MM

/

DD

/

YYYY

DEPARTAMENTO *

Choose

Chuquisaca

Potosí

Tarija

La Paz

Oruro

Cochabamba

Santa Cruz

Beni

Pando

CIUDAD *

Your answer

NOMBRE(S) *

Your answer

APELLIDOS *

Your answer

EDAD *

Your answer

NÚMERO DE CEDULA DE IDENTIDAD *

Your answer

ESTADO CIVIL *

Choose

Casada

Unión libre

Soltera

Viuda

Divorciada

NÚMERO DE CELULAR *

Your answer

CORREO ELECTRÓNICO

Your answer

PROFESIÓN / OCUPACIÓN *

Your answer

NIVEL ACADÉMICO *

Choose

Primaria

Secundaria

Universitario

Técnico Medio

Técnico Superior

Licenciatura

Ninguno

Otro

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