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Datos de contacto
Problemas con ETS
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Apellido Paterno
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Apellido Materno
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Nombre (s)
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No. de Boleta
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Grupo
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Turno
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ETS en cuestión
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Día del ETS
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DD
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YYYY
Hora del ETS
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Time
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PM
Motivo del problema
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Correo Electrónico
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