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INSCRIPCION PARA EL CURSO DE FORMACION DE BRIGADISTAS COMUNITARIOS
DIRIGIDO A LOS VECINOS DEL DISTRITO DE LA MOLINA
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NOMBRES Y APELLIDOS:
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DNI:
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DIRECCION DOMICILIARIA:
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EDAD:
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GENERO:
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FEMENINO
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CORREO ELECTRONICO:
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TELEFONO:
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