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Formulario para asociarte a la AAVLD
La información personal registrada en este formulario será tratada de manera confidencial y de acuerdo con las leyes, las directivas, los reglamentos y los principios aplicables a la protección de datos personales.
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Email
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Your email
APELLIDO Y NOMBRE (según consta DNI)
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TIPO Y N° DE DOCUMENTO
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CUIT/CUIL
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FECHA DE NACIMIENTO
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MM
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DD
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YYYY
DOMICILIO PARTICULAR
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LOCALIDAD, PROVINCIA
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CÓDIGO POSTAL
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TELEFONO CELULAR
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TELEFONO PARTICULAR
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CORREO ELECTRÓNICO
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TITULO PROFESIONAL
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POSTGRADO/S
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ESPECIALIDAD Indicar cual
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LUGAR DE TRABAJO
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DOMICILIO LABORAL
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TELEFONO LABORAL
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CARGO QUE OCUPA
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Mail que selecciona como principal para el contacto
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FECHA DE INSCRIPCIÓN
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MM
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DD
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YYYY
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