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12Ficha_Inscripcion_Editable_A5
asoc: Offcom: Offevento: eve: Offcod-soc: socio: Offcorp: Offcant-crp: nombres: dni: ape_pat: mas: Offfem: Offape_mat: ing: Offarq: Offbach: Offest: Offotro: univ: reg-prof: fecha-nac: email: especialidad: telef: rpm: cel: rpc: direccion: referencia: nom-emp: dir-emp: cargo: ruc-emp: bn: Offrazon-social: telf-emp: dir-ruc: bcp: Offbbva: Offvisa: Offdol-bcp: Offop: fecha-op: observaciones1: monto-op: observaciones2: firma:
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