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[{"$nulls":13},"Form. DEM. No. 3"]
[{"$nulls":13},"Hoja No.:_____________ de________________"]
[null,"República Dominicana"]
[null,"OFICINA NACIONAL DE ESTADISTICA"]
[null,"DEPARTAMENTO DE ESTADISTICAS DEMOGRAFICAS, SOCIALES Y CULTURALES"]
[null,"TRANSCRIPCION ACTAS DE DIVORCIOS"]
[]
[]
[]
[null,"Provincia:"]
[null,"Municipio  ",null,null,"Distrito Municipal",null,null," "]
[null,"Oficialía (Circunscripción) ______________________________ "]
[null,"Fecha:__________________________                                                    "]
[]
[]
[]
[]
[null,null,"DEL HOMBRE",null,null,null,"DE LA MUJER"]
[null,null,null,"Naciónalidad","Lugar de Residencia",null,null,"Naciónalidad","Lugar de Residencia",{"$nulls":8},"No. De hijos anteriores de "]
[null,null,"Edad",null,null,null,"Edad",null,null,null,"Causa del divorcio",null,null,"Duración ",null,null,null,"16 años procreados "]
[null,"Actas","(En años",null,null,"Munic./.","(En años",null,null,"Munic./.",null,null,null,"del Matrimonio",null,null,null,"en este matrimonio "]
[null,"No.","cumplidos)",null,"Provin.","Dist. Munc.","cumplidos)",null,"Provin.","Dist. Munc.","(Especificar)",null,null,"(en años)",null,null,null,"y que estén vivos"]
{"$rows_empty":43}
[null,"Nota: Los datos suministrados aquí, son estrictamente confidenciales y han sido tomados fielmente de las actas correspondientes"]
[null,"Advertencia: Este formulario debidamente preparado debe ser enviado a la Oficina Nacional ",{"$nulls":11},"______________________________________________"]
[null,"de Estadística, dentro de los cinco días del mes siguiente al que corresponden los datos.",{"$nulls":11},"FIRMA DEL OFICIAL CIVIL"]
[{"$nulls":13},"________de _________________del año______________"]