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ABIZENAK
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APELLIDOS
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IZENA
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NOMBRE
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JAIOTZE EGUNA
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FECHA DE NACIMIENTO
MM
/
DD
/
YYYY
NAN
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DNI
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HELBIDEA - (Kalea, numeroa PK eta Herria)
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DIRECCION - (Calle Número, CP y Población)
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POSTA ELEKTRONIKOA
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CORREO ELECTRONICO
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TELEFONOA
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Nº DE TELEFONO
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KONTU KORRONTEAREN ZENBAKIA
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Nº DE CUENTA CORRIENTE
NUMEROA BADUZUE / YA TENEIS EL NUMERO
DEITU TA EMANGO DIZUET / LLAMADME Y OS LO DOY
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