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AFILIACIÓN SELaR
RESOL. MTSS N° 1716.
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Email
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APELLIDO Y NOMBRE (como figura en DNI)
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DNI (sin puntos)
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Celular
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DOMICILIO (particular)
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LUGAR DE TRABAJO (Escuela)
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Domicilio Laboral (y teléfono si lo tuviere)
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CARGO Y HORAS
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FECHA DE INGRESO
MM
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DD
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YYYY
SITUACIÓN DE REVISTA
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ANTIGÜEDAD
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TÍTULOS QUE POSEE
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GRUPO FAMILIAR (cónyuge e hijos con nombre y DNI)
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