tarjeton filiativo

TARJETON FILIATIVO

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AV.PREVIA:_________________________________
FECHA:__________________________________NOMBRE__________________________________________________________________________________________
ALIAS_____________________________________ LUGAR Y FECHA DE NAC:___________________________________
EDOCIVIL.:________________________________ ESPOS@_________________________________________________
DOM:_______________________________________________________DEL/MPIO:_____________________________AGRAVIADO:_______________________________________________________________________________________
GENERALES:
DETENIDO EN: ______________________________________________________________________________________INSTRRUMENTO DEL DELITO: __________________________________________________________________________
Vicios:
Alcohol
Tabaco
Cocaína
Marihuana
Inhalantes
COMPLICES:________________________________________________________________________________________
NOM/PADRE______________________________________ NOM/MADRE:_____________________________________
DOM.DE LOSPADRES:________________________________________________________________________________
OCUPACION_______________________________________ GDO. DE ESTUDIOS:________________________________SEXO:____________________________________________ EDAD:___________________________________________
SEÑAS PARTICULARES:
____________________________________________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________OPERADOR:________________________________________________________________________________________
OBSERVACIONES:
__________________________________________________________________________________________________...