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NFORMATU NDE NSOLICITU PA TUIJIÑJɆ ÑEBET’A


                                                                                                                                                                          OKUA MULO: _______________ 

Okua mulo: Jia (jia/mbø/kjɇnye): Oya ora (hh:mm): __________________
ÑEDATU NDE WAMUAJTI:
BET’A ÑILA: 
APELLIDU NDE WENDA
APELLIDU NDE WEMÑƗ
OLJIU

Ñeinformacio mulañjɇ pa  tumbatiñjɇ miwere
MULAÑJɆ ÑEDATU
RFC:  ________________________________________________________
CURP: _______________________________________________________
NSEXO ________                  WECHJU _____________                  WENDYU: _____
OYA NFECHA MILNDA (jia/mbø/kjɇnye): ______________________________________________________________________
OKUA MUT’A: ___________________________________________________________________________________________________

BET’A NMORAL:  _______________________________________________________________________________________________
OLJIU LIGRUPO OKUA MUT’AÑJɆ:___________________________________________________________________________
OLJIU WANDUREPRESENTARUÑJɆ:_________________________________________________________________________

APELLIDU NDE WENDA
APELLIDU NDE WEMÑƗ
OLJIU

OKUA MUCHJOLY: 
NLUJU ___________________________________, No ptji __________ No PIMBI _________________ P’ESTADU _________ PMUNICIPIU : _____________  C.P.:____  PUJÑIL ______________ LTELEFUNU (YAKI NDUTEFBY)

BET’A WAMULO NDE WANDUNA INFORMACIO:______________________________________________________________________________________________
INFORMACIO TEMINDUSOLITARU: ________________________________________________________________________________________________________
TUCHOPTS’ NDYETSO INFORMACIO PIMA TEMINDUSOLICITARU: _____________________________________________________________________________
MIOYA MULA INFORMACIO PA TUTɆJNDI PA TALJOLY INFORMACIO: __________________________________________________________________________
OKUA TUKJO’ENTREGARU: Chopts’ mbla “X” wire opcio temikina: _______________________________________________________________________________

Ñekopia Ñilañjɇ (Kon ntumi)


Kital’ajtli (Sin tumi)


CD-ROOM (Kon ntumi)


Ñekopia Ñecertifikadas (Kon ntumi)


NTIPU NDE MEDIU (Kitumø oya:)



MULAÑJɆ ÑEDOCUMENTU:______________________________________________________________________________________________________________
 


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