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[{"$nulls":15},"Form. DEM. No. 3"]
[{"$nulls":15},"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 o Distrito Municipal _______________________________________________  "]
[null,"Oficialía (Circunscripción) _____________________________________________________       "]
[null,"Fecha:_____________________________                                                                                                       Revisor________________________________________________"]
[]
[]
[]
[]
[null,null,"DEL HOMBRE",{"$nulls":4},"DE LA MUJER"]
[{"$nulls":5},"Lugar de Residencia",{"$nulls":4},"Lugar de Residencia",{"$nulls":8},"No. De hijos anteriores de "]
[null,null,"Edad",{"$nulls":4},"Edad",{"$nulls":7},"Duración ",null,null,null,"16 años procreados "]
[null,"Casos","(En años","Nivel","Nació",null,"Munic./.","(En años","Nivel","Nació",null,"Munic./.","Causas del divorcio",null,null,"del Matrimonio",null,null,null,"en este matrimonio "]
[null,"No.","cumplidos)","Educativo","nalidad","Provin.","Dist. Munc.","cumplidos)","Educativo","nalidad","Provin.","Dist. Munc.","(Especificar)",null,null,"(en años)",null,null,null,"y que estén vivos"]
[null,"12-16","17-18","19","20","21-22","23-24","25-26","27","28-29","30-31","32-33",null,null,null,"34-35",null,null,null,"36-37"]
{"$rows_empty":43}
[null,"Nota: Los datos suministrados aquí, son estrictamente confidenciales y han sido tomados fielmente de las actas correspondientes"]
[null,"Advertencia: Este formulario debidamente preparado debe ser enviado a la Oficina Nacional ",{"$nulls":13},"______________________________________________"]
[null,"de Estadística, dentro de los cinco días del mes siguiente al que corresponden los datos.",{"$nulls":13},"FIRMA DEL OFICIAL CIVIL"]
[{"$nulls":15},"________de _________________del año______________"]