<table border="1" cellspacing="0" style="width:310pt"> <tbody> <tr> <td colspan="2" style="background-color:#ededed; height:15.0pt; text-align:left; vertical-align:middle; white-space:nowrap; width:146pt">Nombres y Apellidos Completos</td> <td style="height:15.0pt; text-align:left; vertical-align:bottom; white-space:nowrap; width:164pt">ELIO REINER ROMAN</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:15.0pt; text-align:left; vertical-align:middle; white-space:normal; width:146pt"># Dorsal o Polera</td> <td style="height:15.0pt; text-align:left; vertical-align:bottom; white-space:nowrap">17</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:15.0pt; text-align:left; vertical-align:middle; white-space:normal; width:146pt">Edad</td> <td style="height:15.0pt; text-align:left; vertical-align:bottom; white-space:nowrap">42</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:15.0pt; text-align:left; vertical-align:middle; white-space:normal; width:146pt">Carnet de Identidad</td> <td style="height:15.0pt; text-align:left; vertical-align:bottom; white-space:nowrap">6352214SC</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:15.0pt; text-align:left; vertical-align:middle; white-space:nowrap">CAT</td> <td style="height:15.0pt; text-align:left; vertical-align:bottom; white-space:nowrap"> </td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:15.0pt; text-align:left; vertical-align:middle; white-space:nowrap">Nombre de Misión</td> <td style="height:15.0pt; text-align:left; vertical-align:bottom; white-space:nowrap">CHILE RANCAGUA</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:15.0pt; text-align:left; vertical-align:middle; white-space:normal; width:146pt">Años Desde</td> <td style="height:15.0pt; text-align:left; vertical-align:bottom; white-space:nowrap">2006-2008</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:15.0pt; text-align:left; vertical-align:middle; white-space:nowrap">Barrio</td> <td style="height:15.0pt; text-align:left; vertical-align:bottom; white-space:nowrap">CAMPO ROSA</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:15.0pt; text-align:left; vertical-align:middle; white-space:nowrap">Estaca</td> <td style="height:15.0pt; text-align:left; vertical-align:bottom; white-space:nowrap">BAJIO</td> </tr> </tbody> </table>