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["                          PENSIONES CIVILES DEL ESTADO DE CHIHUAHUA"]
["                                                              FORMATO ÚNICO PARA LEVANTAMIENTO DE"]
["                                                          ESTUDIOS SOCIOECONÓMICOS A BENEFICIARIOS"]
[]
[]
["DATOS DEL ASEGURADO"]
["NO. PENSIONES",{"$nulls":3},"APELLIDO PATERNO, MATERNO Y NOMBRE (S)",{"$nulls":26},"PRESTA SUS SERVICIOS EN:"]
[]
["FECHA DE NACIMIENTO",{"$nulls":6},"SEXO",null,null,"ESTADO CIVIL",{"$nulls":5},"ESCOLARIDAD",{"$nulls":8},"SUELDO NETO",{"$nulls":4},"OTROS INGRESOS"]
[]
["DOMICILIO   (CALLE, NÚMERO, COLONIA, CIUDAD Y MUNICIPIO)",{"$nulls":29},"PROCEDENCIA OTROS INGRESOS "]
[]
[]
["PERSONAS QUE CONSTITUYEN EL NUCLEO FAMILIAR DEL ASEGURADO (Esposa (o) e hijos)"]
["NOMBRE",{"$nulls":10},"EDAD",null,"SEXO",null,"ESTADO CIVIL",{"$nulls":3},"PARENTESCO",{"$nulls":3},"ESCOLARIDAD",{"$nulls":4},"OCUPACIÓN",{"$nulls":4},"APORT. AL HOGAR"]
{"$rows_empty":9}
["DESGLOCE DE GASTOS DEL ASEGURADO",{"$nulls":18},"GASTOS DE POSIBLE BENEFICIARIO (S) DOMICILIO DIFERENTE"]
["¿CASA PROPIA?",{"$nulls":7},"EDUCACIÓN",{"$nulls":10},"¿CASA PROPIA?",{"$nulls":7},"EDUCACIÓN"]
[" RENTA O HIPOT.",{"$nulls":7},"PAGO DEL AUTOMOVIL",{"$nulls":10}," RENTA O HIPOT.",{"$nulls":7},"PAGO DEL AUTOMOVIL"]
["ALIMENTACIÓN",{"$nulls":7},"VESTIDO",{"$nulls":10},"ALIMENTACIÓN",{"$nulls":7},"VESTIDO"]
["AGUA, LUZ Y TEL.",{"$nulls":7},"OTROS EGRESOS",{"$nulls":10},"AGUA, LUZ Y TEL.",{"$nulls":7},"OTROS EGRESOS"]
["COMBUSTIBLE",{"$nulls":7},"TOTAL EGRESOS",{"$nulls":10},"COMBUSTIBLE",{"$nulls":7},"TOTAL EGRESOS"]
[]
["BENEFICIARIO CLAVE   / "]
["APELLIDO PATERNO, MATERNO Y NOMBRE (S)",{"$nulls":12},"EDAD",{"$nulls":4},"FECHA NAC.",{"$nulls":4},"ESCOLARIDAD",{"$nulls":4},"¿TRABAJA ?",{"$nulls":4},"¿DÓNDE?"]
[]
["¿GOZA DE ALGUN SERVICIO MÉDICO? ¿CUAL?",{"$nulls":10},"SUELDO NETO",{"$nulls":4},"TIEMPO QUE TIENE SIN TRABAJAR",{"$nulls":8},"EDO. CIVIL",{"$nulls":3},"FECHA FALLECIMIENTO ( EN SU CASO )"]
[]
[]
["BENEFICIARIO CLAVE  /"]
["APELLIDO PATERNO, MATERNO Y NOMBRE (S)",{"$nulls":12},"EDAD",{"$nulls":5},"FECHA NAC.",{"$nulls":4},"ESCOLARIDAD",{"$nulls":3},"¿TRABAJA ?",{"$nulls":4},"¿DÓNDE?"]
[]
["¿GOZA DE ALGUN SERVICIO MÉDICO? ¿CUAL?",{"$nulls":10},"SUELDO NETO",{"$nulls":4},"TIEMPO QUE TIENE SIN TRABAJAR",{"$nulls":8},"     EDO. CIVIL",{"$nulls":3},"FECHA FALLECIMIENTO ( EN SU CASO )"]
[]
[]
["PERSONAS QUE CONSTITUYEN EL NUCLEO FAMILIAR DE POSIBLES BENEFICIARIOS"]
["NOMBRE",{"$nulls":13},"  EDAD",null,"     SEXO",null,null,"  EDO. CIVIL",null,null,"  ESCOLARIDAD",{"$nulls":3},"   OCUPACIÓN",{"$nulls":4},"RESIDENCIA",null,null,"APORTACIÓN"]
[{"$nulls":34},"AL HOGAR"]

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