D-2

DATOS INCOMPLETOS NO REALIZADA

NO MANIPULE NINGUNO DE LOS ITEMS DEBAJO DE ESTA LINEA

TA LINEA
 D2
APELLIDOS COMPELTOS
NOMBRES COMPLETOS
FECHA DE NACIMIENTO
SEXO
POSTULA COMO:
Edad: 21 años 04 m
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2 p d p p d d d d p d p d d d p d d p d p d p
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3 d d d d p p d p d p p p d d p d p d p d d p
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4 d d p d d d p p d p d d d d d p d p d d d p
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7 d d p d d d p p d p d d d d d p d p d d d p
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10 d d p d d d p p d p d d d d d p d p d d d p
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13 d d p d d d p p d p d d d d d p d p d d d p
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14 p d p p d d d d p d p d d d p d d p d p d p
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 Fecha
D2
5 de April de 2021 # de Reg.
Apellidos y Nombres DATOS PERSONALES INCOMPLETOS

Fecha de Nac.
sexo
Postula:
Edad: Años

PD PC
TR
TA
O
C
TR+
TR-
TOT
CON
VAR

100

90

80

70

60

50

40

30

20

10

0
TR TA O C TR+ TR- TOT CON VAR