Ejemplo de una agenda

DATOS PERSONALES/PERSONAL NOTES/LE DONNÉES PERSONNEL

NOMBRE/NAME/LE NOM: ______________________________________________ ____________________________________________________________

________DIRECCION/ADDRESS/L'ADRESS__________________________________________

____________________________________________________________

________

TEL: ______________________________CEL:______________________________

E-MAIL: ____________________________________________________________

_

EMPRESA/COMPANY/ LA COMPAGNIE: ____________________________________

TEL:______________________________ CEL: ______________________________

E-MAIL: ____________________________________________________________

_

R.F.C: ____________________________________________________________

___EN CASO DE ACCIDENTE FAVOR DE INFORMAR A/ IN CASE OF EMERGENCY PLEASE NOTIFY/ EN CAS D'URGENCE S'IL VOUS PLAÎT NOTIFIEZ.

NOMBRE/NAME/LE NOM: ______________________________________________

TEL:_______________________________ CEL: _____________________________

DOCTOR/LE DOCTEUR: _________________________________________________

TIPO DE SANGRE/BLOOD TYPE/ LE GROUPE SANGUIN:________________________

ALERGIAS/ ALLERGIES/ LES ALLERGIES: ____________________________________ ____________________________________________________________

________

DOCUMENTOS DE IDENTIFICACION/DOCUMENTS OF IDENTIFICATION/ DOCUMENTS D'IDENTIFICATION

LICENCIA DE MANEJAR/ DRIVER`S LICENSE: _________________________________

CREDENCIAL DE ELECTOR/ CREDENTIAL OF VOTER/ RÉFÉRENCE D'ÉLECTEUR:____________________________________________________________

________

SEGURO/SURE/ ASSURÉMENT: ___________________________________________

COMPANIA/COMPANY/ LA COMPAGNIE:__________________________________

TEL: ____________________POLIZA: ___________________VIGENCIA: __________

CALENDARIO/CALENDAR/ LE CALENDRIER

2009

CALENDARIO/CALENDAR/ LE CALENDRIER

2010

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