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REGISTRO ÚNICO MUNICIPAL DE CELIAQUIA - R.U.M.C.
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DATOS PERSONALES
APELLIDO Y NOMBRE
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Your answer
D.N.I.
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Your answer
FECHA DE NACIMIENTO
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MM
/
DD
/
YYYY
DOMICILIO
*
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OBRA SOCIAL
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SÍ
NO
¿CUÁL?
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TELÉFONO
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EN CASO DE SER MENOR
APELLIDO Y NOMBRE DEL TUTOR
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DNI
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TELÉFONO
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