PLANILLA DE INSCRIPCIÓN

 

 

 

 

 

 

 

 

 

 

 
  Turno
Diurno  
Vespertino  
Nocturno  
Sabatino  
Dominical  
 
 

 

 

Apellidos: __________________

 
Nombre: ___________________

 
Fecha: ____________

 
Lugar de Nacimiento Estado País
     
Fecha de Nacimiento Edad Estado Civil
     
Cédula de Identidad

Indique el grado de perfección (R= Regular, B= Bueno, MB= Muy Bueno)

V

E
IDIOMAS HABLA LEE ESCRIBE
       
       
Dirección de Habitación:
  Teléfono:
Nombre Empresa de Trabajo:
Dirección:
  Teléfono:
Área de Estudio en el Instituto:
Estudios Realizados:
Primaria: Secundaria: Superior:
Especifique último Estudio:  
Observaciones:
 
 
 

Entrega del Reglamento y Normativas del Pago de Trimestres:

Firma del alumno: _______________________________________________________

 

Calle Pedro Emilio Coll, Qta. Astrea, Santa Mónica

 

 

Contáctenos a través de nuestro e-mail

hteive@yahoo.com

 

DIRECTIVA INSCRIPCIÓN
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