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FORMULARIO DE INSCRIPCIÓN DIPLOMATURA SUPERIOR EN ENFOQUES DIDÁCTICOS Y PEDAGÓGICOS DESDE LA ALTERNANCIA
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1.
DATOS PERSONALES
NOMBRE/S
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APELLIDO
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DNI Nº
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EDAD
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SEXO:
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FECHA DE NACIMIENTO
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MM
/
DD
/
YYYY
LUGAR DE NACIMIENTO
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NACIONALIDAD
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ESTADO CIVIL
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DOMICILIO PARTICULAR - CALLE N°:
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BARRIO - MZ - LOTE:
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LOCALIDAD -
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OBERA
POSADAS
EL DORADO
PUERTO RICO
CAMPO GRANDE
A. DEL VALLE
Other:
CP:
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PROVINCIA
MISIONES
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TELEFONO
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2.
ANTECEDENTES LABORALES:
LUGAR DE TRABAJO
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TÍTULO:
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NIVEL:
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PRIMARIO
SECUNDARIO
UNIVERSITARIO
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3.
COMPROMISO DE PAGO
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Sí
No
Tal vez
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CONTACTO N° 3755-688618 correo electrónico:
silvi_abdala@hotmail.com
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