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PREINSCRIPCIÓN KNOTION
COLEGIO VINCENT VAN GOGH ATLACOMULCO
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DATOS DEL ALUMNO
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PRIMER NOMBRE
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SEGUNDO NOMBRE
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APELLIDO PATERNO
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APELLIDO MATERNO
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FECHA DE NACIMIENTO (DD/MM/AA)
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GENERO
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FEMENINO
MASCULINO
NIVEL
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KIDERGARDEN
ELEMENTARY
MIDDLE SCHOOL
GRADO AL QUE INGRESA
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KINDER 1
KINDER 2
KINDER 3
1 PRIMARIA
2 PRIMARIA
3 PRIMARIA
4 PRIMARIA
5 PRIMARIA
6 PRIMARIA
1 SECUNDARIA
2 SECUNDARIA
3 SECUNDARIA
CURP
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CORREO ELECTRONICO (TUTOR)
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TELEFONO DE CASA
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CELULAR
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DIRECCION (CALLE)
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NUMERO EXTERIOR
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NUMERO INTERIOR
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ESTADO
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MUNICIPIO
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CODIGO POSTAL
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NOMBRE PRIMER CONTACTO
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TELEFONO
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PARENTESCO
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NOMBRE SEGUNDO CONTACTO
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TELEFONO
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PARENTESCO
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TIPO Y GRUPO SANGUINEO
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PADECIMIENTOS CRONICOS
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ALERGIAS
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SITUACION MEDICA ACTUAL
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COMENTARIOS
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AUTORIZA MEDICAMENTOS SIMPLES
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