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Registro - Gimnasio
Registro para el acceso al gimnasio
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Nombre Completo (Empezando por apellidos)
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Your answer
Ocupación
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Estudiante
Docente y/o Administrativo
Maestria
N°de Cuenta
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En caso de ser docente o administrativo colocar (NA)
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N° Seguro Social
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Semestre
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1
2
3
4
5
6
7
8
9
10
Ninguno
Registro (Mes y año) Ej. Enero/2019
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Licenciatura
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ICO
LAM
LCN
LPS
LDE
LIA
Ninguno
Peso
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Estatura
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Tipo de Sangre
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Teléfono
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En caso de emergencia, comunicarse al numero
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Correo electrónico
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