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					<text><![CDATA[I. INFORMACION PERSONAL DEL CAUSANTE Y/O TITULAR ORIGINAL DEL DERECHO]]></text>
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					<text><![CDATA[TIPO DOC]]></text>
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					<text><![CDATA[ESTADO CIVIL]]></text>
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					<text><![CDATA[No.DOCUMENTO]]></text>
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					<text><![CDATA[FECHA NACIMIENTO]]></text>
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					<text><![CDATA[No. TEL. FIJO]]></text>
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					<text><![CDATA[CORREO(S) ELECTRONICO(S)]]></text>
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Distribución gratuita prohibida su venta]]></text>
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República de Colombia]]></text>
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				<text><![CDATA[INFORMACION PARA INCLUSION EN NOMINA]]></text>
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				<text><![CDATA[Autoriza a la UGPP a realizar la Notificación del Acto Administrativo a través de correo electrónico de la solicitud que esta sin resolver a la fecha del presente.  ]]></text>
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