<table border="1" cellspacing="0" style="width:269pt"> <tbody> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:bottom; white-space:nowrap; width:124pt"> </td> <td style="background-color:#ededed; height:14.4pt; vertical-align:bottom; white-space:nowrap; width:145pt">12.</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:nowrap">Nombres y Apellidos Completos</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">BENJAMIN MERCADO PEREZ</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt"># Dorsal o Polera</td> <td style="background-color:white; height:14.4pt; text-align:center; vertical-align:bottom; white-space:nowrap">30</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">FECHA DE NACIMIENTO</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">07/06/1997</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">Edad</td> <td style="background-color:white; height:14.4pt; text-align:center; vertical-align:bottom; white-space:nowrap">24</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">Carnet de Identidad</td> <td style="background-color:white; height:14.4pt; text-align:center; vertical-align:bottom; white-space:nowrap">9695360 S.C.</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:nowrap">Categoría</td> <td style="background-color:white; height:14.4pt; text-align:center; vertical-align:bottom; white-space:nowrap">SUB 24</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:nowrap">Nombre de Misión Completa</td> <td style="background-color:white; height:14.4pt; text-align:left; vertical-align:bottom; white-space:nowrap">PARAGUAY-ASUNCIO NORTE</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">Año Inicio </td> <td style="background-color:white; height:14.4pt; text-align:center; vertical-align:bottom; white-space:nowrap">2016</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:nowrap">Barrio</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">LOS PINOS</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:nowrap">Estaca</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">PARAISO</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:nowrap">Equipo Anterior</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">PSG</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">Seguro de Univida </td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">SI</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">Fotocopia C.I.</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">SI</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">VACUNA</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">SI</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">DOSIS</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">PRIMER DOSIS</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">CANTIDAD DE DOSIS</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">1</td> </tr> <tr> <td colspan="2" style="background-color:yellow; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">No CELULAR</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">70090668</td> </tr> <tr> <td colspan="2" style="background-color:yellow; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">CORREO ELECTRONICO GMAIL</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">benjaparaguay1997@gmailcom</td> </tr> <tr> <td colspan="2" style="background-color:#ededed; height:14.4pt; text-align:center; vertical-align:middle; white-space:normal; width:124pt">COMENTARIOS</td> <td style="background-color:white; height:14.4pt; vertical-align:bottom; white-space:nowrap">JUGADOR</td> </tr> </tbody> </table>