This document appears to be a student record containing a name, a grade or class level, and a date. It lists Carlos Dario Adame Palomares in the 1st grade/form/year and another student, Jorge De Jesus Aguilar Perez, along with a date of 05/09/2013.

1. Carlos Dario Adame Palomares 1° F
Jorge De Jesus Aguilar Perez 05/09/2013