Datos de La Transferencia Realizada - Unicable
N° de Transferencia *
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Monto *
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Fecha *
MM
/
DD
/
YYYY
Time
:
Banco Emisor *
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Banco Receptor *
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Cédula del Titular Cuenta Bancaria (Clientes del Banco Provincial)
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Cédula del Titular Unicable *
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Nombre y Apellido Titular Unicable *
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