Anexo 3 Formulario Registro Individual

 

 ILVJB  I± mj WJEL_]W@

J_]HM@ QBZWLIHOL@IHB MJ G@BLVLH DLIL_]JWL@ MJ ]WHGHK@, JDQBJ@ \ QWJVL_LßI _@OLHB VLOJDLIL_]JWL@ VLOJDLIL_]JWL @ MJ ]WHGHK@ \ QWJVL_LßI QWJVL_LßI _@OLHB MLWJOOLßI EJIJWHB MJ ]WHGHK@, NLELJIJ \ _JEZWLMHM @OZQHOL@IHB

F@BL@

F@WDZBHWL@ MJ WJEL_]W@ LIMLVLMZHB QW@FJ_L@IHBJ_ \ ]ÌOILO@_ JI NLELJIJ, _JEZWLMHM @OZQHOL@IHB \ DJMLOLIH MJB ]WHGHK@ Jb prjsjitj f`rdubhrl` mjgj sjr bbjihm` ji f`rdh mlelthb, h dèqulih ` o`i bjtrh mj ldprjith ji bh f`rdh dès obhrh y o`dpbjth  p`slgbj. Bh lif`rdholÿi lif`rdholÿi pr`p`r pr`p`rol`ihmh ol`ihmh mjgj sjr rjhb y mmjglmhdjitj jglmhdjitj rjsphbmhmh o`i m`oudjitholÿi phrh phrh fholblthr b`s trèdl trèdltjs tjs mj lisorlpolÿi. Ouhbquljr fhbsjmhm livhblmhrè jb rjelstr` o`rrjsp`imljitj.

8. MH]@ ]@_ _ EJ EJI IJW JWHB HBJ J_ 8.8 Hpjbblm` phtjri` VHWEH_ 8.7 Buehr mj iholdljit`

Hpjbblm` dhtjri` D@_]HOJM@

I`dgrjs NJIWW\ 8.7.8 Fjonh mj iholdljit`

QJIHMJWLH-N._LBJ_-ONZXZL_HOH 8.? Ihol`ihblmhm G@BLVLHI@

Mäh 7: 8.?.8 Jsthm` olvlb 8.?.7 O. Lmjitlmhm _@B]JW@ 5:5??85

8.= Mlrjoolÿi hotuhb (Ohbbj, (Ohbbj, Ir`., [`ih, Olumhm, Mjpt`.) O/ Q@]@_L J/WJIJ D@WJI@ \ _E]@. DHOJMH 8.: Mlrjoolÿi Qjrdhijitj (Ohbbj, Ir Ir`., [`ih, Olumhm, Mjpt`.) O/ Q@]@_L J/WJIJ D@WJI@ \ _E]@. DHOJMH h. Jitlmhm Ohre`(s) quj mjsjdpjøh m`imj trhghkh D@IL]@W N_J _JWVLQJ]W@B B]MH (_HBZM, _JEZWLMHM)

7. ]lp` D@ D@]L V@ MJ BH _@B _@BLO LOL] L]ZM ZM 7.8 mj]LV@ s`bloltum (o`b`quj ^ m`imj o`rrjsp`imh)

Wj-ohtje`rlzholÿi

^

Djs Hø` 87 8