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FORMULARIO DE INSCRIPCIÓN
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Nombres y Apellidos
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Your answer
Edad
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19-30 años
31-50 años
50+ años
Sexo
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Femenino
Masculino
Correo Electrónico (email)
*
Your answer
Cedula de identidad (CI)
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Your answer
Teléfono Celular
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Your answer
Ciudad
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Choose
LA PAZ
COCHABAMBA
SANTA CRUZ
ORURO
POTOSÍ
PANDO
BENI
TARIJA
SUCRE
Usted es:
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Laico
Secretario y/o Director Ejecutivo
Técnico
Agente Pastoral
Voluntario Pastoral
Facilitador
Consultor
Estudiante
Other:
¿Usted pertenece a algún pueblo indígena, originario o campesino?
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Sí
No
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