FORMULARIO INGRESO DE DATOS PARA CARNET
Carrera *
Tipo Documento *
N° Documento *
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Nombres *
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Apellido Paterno *
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Apellido Materno *
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Fecha de Nacimiento *
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DD
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Estado Civil *
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Dirección *
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Teléfono *
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Email *
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Departamento *
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Provincia *
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Distrito *
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Nacionalidad *
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Género *
Ingrese número de recibo de pago de Carnet *
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