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Inscripción Proyecto AMA 2024
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NOMBRE
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APELLIDOS
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DOCUMENTO DE IDENTIDAD
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NIE
DNI
PASAPORTE
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NÚMERO DE DOCUMENTO
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FECHA DE NACIMIENTO
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MM
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DD
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YYYY
NACIONALIDAD
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MUNICIPIO DE RESIDENCIA
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TELÉFONO MÓVIL
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CORREO ELECTRÓNICO
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DISCAPACIDAD RECONOCIDA?
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SI
NO
ESTÁS GESTANDO ACTUALMENTE?
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TIENES MENORES DE 0 A 3 AÑOS A CARGO?
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No
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¿TIENES ALGUNA PREGUNTA?
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