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PROGRAMA DE ATENCIÓN EXTRAESCOLAR
PARA HIJOS DE EMPLEADOS DE LA SECRETARÍA DE PLANEACION
DEPARTAMENTO DE RECURSOS HUMANO
FECHA:___________________________
I. DATOS GENERALES DEL MENOR
NOMBRE: ____________________________________________________
SEXO: _______________________
EDAD: _______________________
TIPO DE SANGRE:_____________________________
ALERGIAS A MEDICAMENTOS O ALIMENTOS____________________________________________
FECHA DE NACIMIENTO: _______________________________________________________________
ESCOLARIDAD: ________________________________________________________________________
DOMICILIO:____________________________________________________________________________
_______________________________________________________________________________________
TELEFONO DE
PADRES:_______________________________________________________________________________
____________________________________________________________________________________
II. DATOS FAMILIARES
NOMBRE: _____________________________________________________________________________
TELEFONO: ___________________________________________________________________________
DOMICILIO:____________________________________________________________________________
___________________________________________________________________________________________
FIRMA
___________________________
PADRE O TUTOR

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Solicitud taller infantil

  • 1. PROGRAMA DE ATENCIÓN EXTRAESCOLAR PARA HIJOS DE EMPLEADOS DE LA SECRETARÍA DE PLANEACION DEPARTAMENTO DE RECURSOS HUMANO FECHA:___________________________ I. DATOS GENERALES DEL MENOR NOMBRE: ____________________________________________________ SEXO: _______________________ EDAD: _______________________ TIPO DE SANGRE:_____________________________ ALERGIAS A MEDICAMENTOS O ALIMENTOS____________________________________________ FECHA DE NACIMIENTO: _______________________________________________________________ ESCOLARIDAD: ________________________________________________________________________ DOMICILIO:____________________________________________________________________________ _______________________________________________________________________________________ TELEFONO DE PADRES:_______________________________________________________________________________ ____________________________________________________________________________________ II. DATOS FAMILIARES NOMBRE: _____________________________________________________________________________ TELEFONO: ___________________________________________________________________________ DOMICILIO:____________________________________________________________________________ ___________________________________________________________________________________________ FIRMA ___________________________ PADRE O TUTOR