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CERTIFICADO LEY 19.327
Solicitud de certificado de no haber sido sancionado/a conforme a la Ley N° 19.327, de derechos y deberes en los espectáculos de fútbol profesional y su reglamento.
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CÉDULA DE IDENTIDAD
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NOMBRE
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APELLIDOS
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DOMICILIO PARTICULAR COMPLETO
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COMUNA
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OSORNO
SAN PABLO
PUERTO OCTAY
SAN JUAN DE LA COSTA
PUYEHUE
RIO NEGRO
PURRANQUE
TELÉFONO DE CONTACTO
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CORREO ELECTRÓNICO
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