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Libro de Reclamaciones
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1. Datos de la persona que presenta el reclamo
Tipo de Documento
*
DNI
C.E.
N° de Documento
*
Your answer
Primer nombre
*
Your answer
Segundo Nombre
Your answer
Apellido Paterno
*
Your answer
Apellido Materno
*
Your answer
Tipo de Respuesta
*
Correo electrónico
Dirección domiciliaria
Correo electrónico / Dirección
*
Your answer
Distrito / Provincia / Departamento
Your answer
Menor de edad
*
No
Si
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