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Mero 3. Oficina Local 4. N m. Seguro Social 5. Nombre y direcci n del Negocio (n m., calle, pueblo o ciudad, pa s, zona postal) 6. Empleo propio (marque el encasillando correspondiente): Se dedica a: Agricultura Comercio Profesi n En Calidad de: Due o Socio A. Informaci n Sobre Empleo Propio (conteste todas las Preguntas) 1. Describa la naturaleza de su empleo; desde cuando trabaja en empleo propio: 2. Requer a dicho empleo propio que usted prestara servicio.

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