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Ficha de Inscripción a Seminario Online
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NOMBRES Y APELLIDOS
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DOCUMENTO DE IDENTIDAD DNI
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NOMBRE DE COMUNIDAD CAMPESINA
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UBICACIÓN DISTRITO / PROVINCIA / REGIÓN
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CARGO U OCUPACIÓN
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CORREO ELECTRÓNICO
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NÚMERO DE CELULAR
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OPCIONAL CERTIFICACIÓN
CERTIFICADO DIGITAL
CERTIFICADO FISICO
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