AMATLAJTLANILISTLI TLEN MIYAKAPAJ TLAYOLMELAUALI

Kanij: Tonali (tonal/mestli/xiuitl): _______________ 

Kauitl (kauitl:pilkauitsitsij): _______________
MASEUALTLAJTOLISTLI TLEN MOTLAJTLANIJKETL:
ISELTI MASEUALI:

ITSONKISKA      TLEN ITATA
ITSONKISKA TLEN INANA
TOKAYOTL(TOKAYOMEJ)

Tlajtoli motekiuiya san para tlajtolmachiotl
AMO NELMONEKIJ MASEUALTLAJTOLISTLI
RFC:  ________________________________________________________
CURP: _______________________________________________________
TLAKAYONEXTILI:  SIUATL ________                  TLAKATL _____________ 
TONALI KEMAJ TLAKATKI (tonali/mestli/xiuitl):____________________________________________________________________
TEKITL: ___________________________________________________________________________________________________
NECHOKILISTLI ____________________________________________________________________________________________
KENIJ KITOKAXTIYAJ IKA MIYAKAPAJ:_________________________________________________________________________
TOKAYOTL TLEN TLAIXPANTIJKETL:___
ITATA ITSONKISKA ________ INANA ITSONKISKA_______ TOKAYOTL(TOKAYOMEJ) ____
CHANTOKAJYOTL KALUEYOJTLI_________________, kalixpa tlapoualistli __________ KALIJTIK TLAPOUALISTLI _________________TLALI ESTADO__________ TLATILANTI:  C.P.:____  PILCHINANKO O CHINANKO______________ TEPOSMEKAKAMANALI (TLAJ TIJNEKIS)
TEMACHIOJ MASEUALI KATIJ MOTLAJTLANIA TLAYOLMELAUALI: ____________________________

TLAJTOLI KATIJ MOTLAJTLANIA.
TLAJTOLNEXTILISTLI KUALI UAN MELAUAK TLEN TLAYOLMELAUALI KATIJ MOTLAJTLANIA: ______________________________ _____________________________________________________________________________________________________________

SEYOK TLAMANTI KATIJ AXKIOJUILTIS TLATEMOLISTLI TLEN TLAJTOLI:
KENIJ TEMAJTILIS: Xijkui ika se “X” tlajtoli katij tijnekis:
San tlaixkopinali (ipatik) __________
San ta timotlajtlaniti (Amo ipatik) _________
CD-ROM (ipatik) _____________________
Melauak Tlaixkopinalmej (ipatik) _________

TLAUASANTLI O MAJPILMACHIOTL