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Afiliación como socio activo
Para empleado/a del Banco
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Email
*
Your email
Nombre
*
Your answer
Apellido
*
Your answer
Fecha de Nacimiento
*
MM
/
DD
/
YYYY
Fecha de ingreso al Banco
*
MM
/
DD
/
YYYY
Fue socio anteriormente
*
Sí
No
Dependencia donde presta servicios
*
Your answer
Nº de ficha censal
*
Your answer
Sueldo actual
*
Your answer
Domicilio
*
Your answer
DNI - Cédula de Identidad Nº
*
Your answer
Nro de CUIL / CUIT
*
Your answer
Caja de ahorros y sucursal
*
Your answer
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