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Centro de Conciliacin, Negociacin,

Mediacin y Arbitraje

Resolucin. Viceministerial

N176-2001-JUS

CENTRO DE CONCILIACIN, NEGOCIACIN, MEDIACIN Y ARBITRAJE ASS

Resolucin Viceministerial N 176 2001- JUS

SOLICITUD PARA CONCILIAR

EXP N________-20___A

DATOS GENERALES:

Fecha:_____________A) Nombre o razn social del (los) solicitantes________________________________________________________ ________________________________________________________________________________________________ Documento de identidad o RUC del (los) solicitante(s)____________________________________________________ Domicilio del (los) solicitante(s)______________________________________________________________________

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Nombre del apoderado o representante________________________________________________________________ Domicilio del apoderado o representante _______________________________________________________________ ________________________________________________________________________________________________B) Nombre o razn social del (los) invitado(s)_________________________________________________________

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Domicilio (s) del (los) invitado(s) ____________________________________________________________________

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HECHOS QUE DIERON LUGAR AL CONFLICTO:

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________________________________________________________________________________________________________________________________________________________________________________________________OTRAS PERSONAS CON DERECHO ALIMENTARIO (solo en caso de familia)________________________________________________________________________________________________

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PRETENSION

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Pido a ustedes acceder a mi solicitud, a fin que proceda conforme a la Ley de Conciliacin y su Reglamento.

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Firma del solicitante

Documentos que adjunto:

_1113383284.doc