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Submitted URL: https://forms.gle/JHxzEi1nHevChaZv7
Effective URL: https://docs.google.com/forms/d/e/1FAIpQLSefzIATKEpLzIg7EWVai8XDDzWstkt2KmcaCxE7UEOC5Kyhhg/viewform?usp=send_form
Submission: On April 11 via manual from SG — Scanned from SG

Form analysis 1 forms found in the DOM

POST https://docs.google.com/forms/d/e/1FAIpQLSefzIATKEpLzIg7EWVai8XDDzWstkt2KmcaCxE7UEOC5Kyhhg/formResponse

<form action="https://docs.google.com/forms/d/e/1FAIpQLSefzIATKEpLzIg7EWVai8XDDzWstkt2KmcaCxE7UEOC5Kyhhg/formResponse" target="_self" method="POST" id="mG61Hd" jsmodel="TOfxwf Q91hve CEkLOc" data-shuffle-seed="177996088223526957"
  data-clean-viewform-url="https://docs.google.com/forms/d/e/1FAIpQLSefzIATKEpLzIg7EWVai8XDDzWstkt2KmcaCxE7UEOC5Kyhhg/viewform?usp=send_form" data-response="%.@.]" data-dlp-data="%.@.null,false]" data-first-entry="0" data-last-entry="4"
  data-is-first-page="true">
  <div jscontroller="yUS4Lc" jsaction="rcuQ6b:rcuQ6b;UxRBlf:rcuQ6b;">
    <div jsname="o6bZLc"><input type="hidden" name="entry.15959236" value=""><input type="hidden" name="entry.1670314090" value=""><input type="hidden" name="entry.758033096" value=""><input type="hidden" name="entry.123809548" value=""></div>
  </div>
  <div class="RH5hzf RLS9Fe">
    <div class="lrKTG">
      <div class="Dq4amc">
        <div class="m7w29c O8VmIc tIvQIf"><noscript>
            <div class="HB1eCd-X3SwIb-haAclf">
              <div class="HB1eCd-X3SwIb-i8xkGf">
                <div class="tk3N6e-cXJiPb tk3N6e-cXJiPb-TSZdd tk3N6e-cXJiPb-GMvhG">您的浏览器中未启用 JavaScript，因此无法打开此文件。请启用 JavaScript，然后重新加载。</div>
              </div><br>
            </div>
          </noscript>
          <div class="JH79cc RVEQke b33AEc"></div>
          <div class="N0gd6">
            <div class="ahS2Le">
              <div class="F9yp7e ikZYwf LgNcQe" dir="auto" role="heading" aria-level="1">33 Convención de Aseguradores AMIS</div>
            </div>
            <div class="cBGGJ OIC90c" dir="auto">Estimado colega:<div>Llena el siguiente formulario con tus datos y selecciona las sesiones a las que asististe.</div>
            </div>
            <div jsname="F0H8Yc" class="liS6Hc"></div>
          </div>
          <div class="zAVwcb"></div>
          <div class="DqBBlb">
            <div class="Oh1Vtf">
              <div class="kesdnc" id="SMMuxb">
                <a jscontroller="A2m8uc" jsaction="rcuQ6b:npT2md; click:mAWTmb;" href="https://accounts.google.com/Login?continue=https%3A%2F%2Fdocs.google.com%2Fforms%2Fd%2Fe%2F1FAIpQLSefzIATKEpLzIg7EWVai8XDDzWstkt2KmcaCxE7UEOC5Kyhhg%2Fviewform%3Ffbzx%3D177996088223526957" aria-describedby="SMMuxb">登录 Google</a>
                即可保存进度。<a class="TYUeKb" jscontroller="rmdjlf" jsaction="rcuQ6b:npT2md; click:xdDXgc;" role="button" tabindex="0">了解详情</a></div>
            </div>
            <div class="zAVwcb"></div>
            <div class="md0UAd" aria-hidden="true" dir="auto">* 表示必填</div>
          </div>
        </div>
      </div>
      <div class="o3Dpx" role="list">
        <div role="listitem">
          <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n AgroKb oQYVNd">
            <div jscontroller="v4y9Mc" jsaction="rcuQ6b:vZc4S;sPvj8e:d3sQLd;O22p3e:zjh6rb;AHmuwe:h06R8;b2trFe:eVidQc;">
              <div class="z12JJ">
                <div class="HoXoMd D1wxyf RjsPE" dir="auto" role="heading" aria-level="3"><span class="M7eMe">电子邮件地址</span><span class="vnumgf" id="i4" aria-label="此问题为必填"> *</span></div>
              </div>
              <div class="rFrNMe k3kHxc RdH0ib yqQS1 zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                <div class="aCsJod oJeWuf">
                  <div class="aXBtI Wic03c">
                    <div class="Xb9hP"><input type="email" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="email" tabindex="0" aria-label="您的电子邮件" aria-disabled="false" required="" dir="auto" data-initial-dir="auto" data-initial-value="">
                      <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">您的电子邮件</div>
                    </div>
                    <div class="i9lrp mIZh1c"></div>
                    <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                  </div>
                </div>
                <div class="LXRPh">
                  <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                </div>
              </div>
            </div>
            <div jsname="Rfh2Tc" class="SL4Sz" id="i3" role="alert"></div>
          </div>
        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[1339323937,&quot;Apellido Paterno&quot;,null,0,[[15959236,null,true,null,null,null,null,null,null,null,[]]],null,null,null,null,null,null,[null,&quot;Apellido Paterno&quot;]],&quot;i5&quot;,&quot;i6&quot;,&quot;i7&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i5" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i8"><span class="M7eMe">Apellido Paterno</span><span class="vnumgf" id="i8" aria-label="此问题为必填"> *</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i6"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
                <div class="rFrNMe k3kHxc RdH0ib yqQS1 zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="aCsJod oJeWuf">
                    <div class="aXBtI Wic03c">
                      <div class="Xb9hP"><input type="text" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i5" aria-describedby="i6 i7" aria-disabled="false" required="" dir="auto" data-initial-dir="auto"
                          data-initial-value="">
                        <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">您的回答</div>
                      </div>
                      <div class="i9lrp mIZh1c"></div>
                      <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                    </div>
                  </div>
                  <div class="LXRPh">
                    <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i7" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[1453508914,&quot;Apellido Materno&quot;,null,0,[[1670314090,null,true,null,null,null,null,null,null,null,[]]],null,null,null,null,null,null,[null,&quot;Apellido Materno&quot;]],&quot;i9&quot;,&quot;i10&quot;,&quot;i11&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i9" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i12"><span class="M7eMe">Apellido Materno</span><span class="vnumgf" id="i12" aria-label="此问题为必填"> *</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i10"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
                <div class="rFrNMe k3kHxc RdH0ib yqQS1 zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="aCsJod oJeWuf">
                    <div class="aXBtI Wic03c">
                      <div class="Xb9hP"><input type="text" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i9" aria-describedby="i10 i11" aria-disabled="false" required="" dir="auto" data-initial-dir="auto"
                          data-initial-value="">
                        <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">您的回答</div>
                      </div>
                      <div class="i9lrp mIZh1c"></div>
                      <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                    </div>
                  </div>
                  <div class="LXRPh">
                    <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i11" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[1914596198,&quot;Nombre(s)&quot;,null,0,[[758033096,null,true,null,null,null,null,null,null,null,[]]],null,null,null,null,null,null,[null,&quot;Nombre(s)&quot;]],&quot;i13&quot;,&quot;i14&quot;,&quot;i15&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i13" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i16"><span class="M7eMe">Nombre(s)</span><span class="vnumgf" id="i16" aria-label="此问题为必填"> *</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i14"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
                <div class="rFrNMe k3kHxc RdH0ib yqQS1 zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="aCsJod oJeWuf">
                    <div class="aXBtI Wic03c">
                      <div class="Xb9hP"><input type="text" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i13" aria-describedby="i14 i15" aria-disabled="false" required="" dir="auto" data-initial-dir="auto"
                          data-initial-value="">
                        <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">您的回答</div>
                      </div>
                      <div class="i9lrp mIZh1c"></div>
                      <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                    </div>
                  </div>
                  <div class="LXRPh">
                    <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i15" role="alert"></div>
            </div>
          </div>
        </div>
        <div class="Qr7Oae" role="listitem">
          <div jsmodel="CP1oW"
            data-params="%.@.[1652663214,&quot;Número de actuario certificado&quot;,null,0,[[123809548,null,true,null,[[1,9,[&quot;&quot;]]],null,null,null,null,null,[]]],null,null,null,null,null,null,[null,&quot;Número de actuario certificado&quot;]],&quot;i17&quot;,&quot;i18&quot;,&quot;i19&quot;,false]">
            <div jscontroller="sWGJ4b" jsaction="EEvAHc:yfX9oc;" jsname="WsjYwc" class="geS5n">
              <div class="z12JJ">
                <div class="M4DNQ">
                  <div id="i17" class="HoXoMd D1wxyf RjsPE" role="heading" aria-level="3" aria-describedby="i20"><span class="M7eMe">Número de actuario certificado</span><span class="vnumgf" id="i20" aria-label="此问题为必填"> *</span></div>
                  <div class="gubaDc OIC90c RjsPE" id="i18"></div>
                </div>
              </div>
              <div jscontroller="oCiKKc" jsaction="rcuQ6b:vZc4S;O22p3e:zjh6rb;b2trFe:eVidQc;sPvj8e:d3sQLd;AHmuwe:h06R8;" class="AgroKb">
                <div class="rFrNMe k3kHxc RdH0ib yqQS1 ccuQue zKHdkd" jscontroller="pxq3x" jsaction="clickonly:KjsqPd; focus:Jt1EX; blur:fpfTEe; input:Lg5SV" jsshadow="" jsname="YPqjbf">
                  <div class="aCsJod oJeWuf">
                    <div class="aXBtI Wic03c">
                      <div class="Xb9hP"><input type="text" class="whsOnd zHQkBf" jsname="YPqjbf" autocomplete="off" tabindex="0" aria-labelledby="i17" aria-describedby="i18 i19" aria-disabled="false" required="" dir="auto" data-initial-dir="auto"
                          data-initial-value="">
                        <div jsname="LwH6nd" class="ndJi5d snByac" aria-hidden="true">您的回答</div>
                      </div>
                      <div class="i9lrp mIZh1c"></div>
                      <div jsname="XmnwAc" class="OabDMe cXrdqd"></div>
                    </div>
                  </div>
                  <div class="LXRPh">
                    <div jsname="ty6ygf" class="ovnfwe Is7Fhb"></div>
                  </div>
                </div>
              </div>
              <div jsname="Rfh2Tc" class="SL4Sz" id="i19" role="alert"></div>
            </div>
          </div>
        </div>
      </div>
      <div class="ThHDze" jscontroller="lSvzH" jsaction="rcuQ6b:npT2md;JIbuQc:qV61Ff(X5DuWc),Gl574d(QR6bsb),V3upec(GeGHKb),HiUbje(M2UYVd),NPBnCf(OCpkoe); keydown:duASZc" data-shuffle-seed="177996088223526957"
        data-should-execute-invisible-captcha-challenge="true" data-is-receipt-checked="true">
        <div class="DE3NNc CekdCb">
          <div class="lRwqcd">
            <div role="button" class="uArJ5e UQuaGc YhQJj zo8FOc ctEux" jscontroller="VXdfxd"
              jsaction="click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;"
              jsshadow="" jsname="OCpkoe" tabindex="0">
              <div class="Fvio9d MbhUzd" jsname="ksKsZd"></div>
              <div class="e19J0b CeoRYc"></div><span jsslot="" class="l4V7wb Fxmcue"><span class="NPEfkd RveJvd snByac">下一页</span></span>
            </div>
          </div>
          <div class="nYdzXd">
            <div role="button" class="uArJ5e UQuaGc kCyAyd l3F1ye TFBnVe" jscontroller="VXdfxd"
              jsaction="click:cOuCgd; mousedown:UX7yZ; mouseup:lbsD7e; mouseenter:tfO1Yc; mouseleave:JywGue;touchstart:p6p2H; touchmove:FwuNnf; touchend:yfqBxc(preventDefault=true); touchcancel:JMtRjd;focus:AHmuwe; blur:O22p3e; contextmenu:mg9Pef;"
              jsshadow="" jsname="X5DuWc" tabindex="0">
              <div class="Fvio9d MbhUzd" jsname="ksKsZd"></div>
              <div class="e19J0b CeoRYc"></div><span jsslot="" class="l4V7wb Fxmcue"><span class="NPEfkd RveJvd snByac">清除表单内容</span></span>
            </div>
          </div>
        </div>
        <div class="T2dutf">切勿通过 Google 表单提交密码。</div>
      </div><input type="hidden" name="fvv" value="1"><input type="hidden" name="partialResponse" value="[null,null,&quot;177996088223526957&quot;]"><input type="hidden" name="pageHistory" value="0"><input type="hidden" name="fbzx"
        value="177996088223526957"><input type="hidden" name="submissionTimestamp" value="-1">
    </div>
  </div>
</form>

Text Content

您的浏览器中未启用 JavaScript，因此无法打开此文件。请启用 JavaScript，然后重新加载。


33 Convención de Aseguradores AMIS
Estimado colega:
Llena el siguiente formulario con tus datos y selecciona las sesiones a las que
asististe.


登录 Google 即可保存进度。了解详情

* 表示必填
电子邮件地址 *
您的电子邮件




Apellido Paterno *

您的回答




Apellido Materno *

您的回答




Nombre(s) *

您的回答




Número de actuario certificado *

您的回答





下一页

清除表单内容
切勿通过 Google 表单提交密码。
此内容不是由 Google 所创建，Google 不对其作任何担保。 举报滥用行为 - 服务条款 - 隐私权政策
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