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Cha Efect. A O Raz n Ret. Fecha Nombre Sexo (Apellido Paterno Apellido Materno Nombre E Inicial ) Fecha de Nac. ( M F ) MES D A A O Direcci n Postal ( ( N MERO / CALLE / URB. COND. / O RES. TORRE / / COND. ) HC BOX RR CORREO ELECTR NICO 0 ( APT. ) ( MUNICIPIO ) ( ESTADO ) ( ZIP CODE + 4 ) Direcci n Residencial ( URB. / RES. / COND. ) ( N MERO / CALLE / COND. O TORRE / HC RR BOX 0 ( APT. ) ( MUNICIPIO ) ( ESTADO ) Si participa en.

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