Post on 08-Dec-2015
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DECLARACIÓN JURADA Formulada por D./Dª. ____________________________________________________ con D.N.I. nº _________________________ mayor de edad y con domicilio en ______ _____________________________________________de______________________
DECLARA BAJO JURAMENTO Que:_________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ ____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
Y para que conste ante el Organismo Administrativo o Judicial competente,
firmo la presente en Badajoz, a __________ de ______________________ de 2.01 2
FIRMA