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INSCRICIÓN CLUB DE REMO DE RIANXO
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APELIDOS
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NOME
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DNI
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CATEGORIA cumple os anos este ano
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Alevín <11 anos
Infantil 12 -13 anos
Cadete 14 -15 anos
Xuvenil 16 - 17 anos
Senior >18 anos
Veterano
Non sei
SEXO
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MASCULINO
FEMENINO
DATA DE NACEMENTO
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MM
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DD
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YYYY
LOCALIDADE DE NACEMENTO
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PROVINCIA DE NACEMENTO
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NACIONALIDADE DE NACEMENTO
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DIRECCION ACTUAL
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NUMERO
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PORTAL
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PISO
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LOCALIDADE
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CODIGO POSTAL
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PROVINCIA
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PAIS
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NACIONALIDADE
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TELEFONO
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E-MAIL
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