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TALLER DE ORIENTACIÓN EN MATEMÁTICA (TOM) 2019
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FICHA DE POSTULACIÓN
ORGANIZADORES:
FACULTAD DE CIENCIAS BÁSICAS DE LA UNIVERSIDAD DE ANTOFAGASTA
LIGA PROTECTORA DE ESTUDIANTES DE ANTOFAGASTA
I. ANTECEDENTES DEL POSTULANTE
Nombre Completo
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Cédula de Identidad
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Fecha de Nacimiento
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MM
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DD
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YYYY
Estado Civil
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Soltero (a)
Casado (a)
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Domicilio
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Fono y/o Celular
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E-mail
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II. POSTULACIÓN
Colegio (actual o de egreso)
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Ciudad
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Año de egreso
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