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Convocatoria Comisión Municipal de Discapacidad
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Nombre y Apellido
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Your answer
Domicilio
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Your answer
Teléfono
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Correo Electrónico
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Your answer
Es usted Persona con Discapacidad
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SI
NO
FAMILIAR
Pertenece a algún Centro de Rehabilitación o Centro de Día
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SI
NO
Porque quisiera participar de la Comisión Municipal de Discapacidad?
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