Oficina Regional de Asuntos Tribales Taino de Puerto Rico

Formulario Para El Registro Indio Taino

Numero_de_Registro:___________________(Para_Uso_de_La_Oficina)_Fecha:_______________________

Nombre:__________________________________________________________________________________

ID# ________________________________________Telefono:___________________________________

Domicillo:____________________________________________________________________________________

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Historia_de_La_Familia:_________________________________________________________________________

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Abuela (maternal):_______________________________Ciudad __________________________________

Abuela (paternal):_______________________________Ciudad___________________________________

Abuelo (maternal):_______________________________________________________________________

Abuelo (paternal):_______________________________________________________________________

Hermanos:_____________________________________________________________________________

Hermanas:_____________________________________________________________________________

Fecha_de_Nacimiento:__________Lugar_de_Naciniento:______________________________________

Filma:_______________________________________________________________________________

Mande este formulario con un peso $1.00 de donativo (solamente monera o money order) para el mantenimiento de los achivos y servicos, a Don Collins Cigars, PO Box 9022651, San Juan, Puerto Rico 00902. (c) Jatibonicu Taino Tribal Nation of Boriken.

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