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Ca Matrimonio 2009-2023
PAÍS)
11A. NOMBRE COMPLETO DE NACIMIENTO DE MAMA/PADRE
11B. ESTADO DONDE NACIÓ (SI ES FUERA DE EE.UU. ESCRIBA EL PAÍS)
12A. PRIMER NOMBRE
12B. SEGUNDO NOMBRE
12C. APELLIDO ACTUAL
12D. APELLIDO DE NACIMIENTO (SI ES DIFERENTE A 12C)
13. FECHA DE NACIMIENTO (DD/MM/AAAA) 14. ESTADO/PAÍS DE NACIMIENTO
17. DIRECCIÓN
15. MATRIMONIOS/SRDP PREVIOS
18. CIUDAD
16A. ÚLTIMO MATRIMONIO/SRDP TERMINO EN:
16B. FECHA TERMINACION (DD/MM/AAAA)
MUERTE DISOL. ANULACIÓN TERM. SRDP N/A
19....
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