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cODIGO: F-03
ONATRL
PRONATEL Code,
REGISTRO DE USUARIOS POTENCIALES
Distrito: SARHUA Focha: 25/07/2022
CAD: SAAHUA (AUGU Reglon: AYACUCHo Provincla: VICTOR FAJARDO
LIder Digtal Comunitario
(LDC):FAUSTINOFLORENCIOPAUCAR VARGAS Lugar (olija): Plaza Luger (ospecifiquo): PLAZAPRINCIPALDESARHUA
DiSCAPACcio
APELLIDO N° CELULAR CORREO FIRMA
N" DNI MOMBRES sEXO CDAD AD
(S1/NO)
Nicela
r M 33
WGo8S&H|Coct NO993991599
Kowt14
NO_18700495 3 Ys
NO YS3572 79s
NO 32986 2Y
F
20/520
Edelbertina
E9793 Avddo.
Yupes
e133 huc hon o 32
74H00S23 Ynce op« Abram ance Yupa
SI93 t%%6ogmeicd
M 20
10
FIRMA DEL
LDER DIGTAL COMUNITARIO -
LDC
Nombrg[: FAUSTINO FLORENCIO
Apelidos: PAUCAR VARGAS
Utza Llder Digtal Comunitano (LOC)
Objotivo Rogistrar a los usuanios potencialos durante los oventos de activacion
Frocuenco En cada ovonto de activacion
DNI: 45020817

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Adobe Scan 05 ago. 2022 (3).pdf

  • 1. cODIGO: F-03 ONATRL PRONATEL Code, REGISTRO DE USUARIOS POTENCIALES Distrito: SARHUA Focha: 25/07/2022 CAD: SAAHUA (AUGU Reglon: AYACUCHo Provincla: VICTOR FAJARDO LIder Digtal Comunitario (LDC):FAUSTINOFLORENCIOPAUCAR VARGAS Lugar (olija): Plaza Luger (ospecifiquo): PLAZAPRINCIPALDESARHUA DiSCAPACcio APELLIDO N° CELULAR CORREO FIRMA N" DNI MOMBRES sEXO CDAD AD (S1/NO) Nicela r M 33 WGo8S&H|Coct NO993991599 Kowt14 NO_18700495 3 Ys NO YS3572 79s NO 32986 2Y F 20/520 Edelbertina E9793 Avddo. Yupes e133 huc hon o 32 74H00S23 Ynce op« Abram ance Yupa SI93 t%%6ogmeicd M 20 10 FIRMA DEL LDER DIGTAL COMUNITARIO - LDC Nombrg[: FAUSTINO FLORENCIO Apelidos: PAUCAR VARGAS Utza Llder Digtal Comunitano (LOC) Objotivo Rogistrar a los usuanios potencialos durante los oventos de activacion Frocuenco En cada ovonto de activacion DNI: 45020817