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Registro de participante
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Nombre(s):
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Apellido(s):
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Correo electrónico:
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Institución u empresa:
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Municipio de residencia en Colima:
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Número de celular:
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Número de teléfono:
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Género:
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Rango de edad al que pertenece:
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Hablante de lengua indígena:
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Discapacidad:
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Tipo de participante:  
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Número de cuenta, de trabajador o de afiliación:
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Forma de pago:
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Cómo se enteró del evento:
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