Anexo 1 Perfil Socio Demografico.docx

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Transportes Terrestres Quin Express S.A. ANEXO 1

ENCUESTA PERFIL SOCIO DEMOGRAFICO

CÓDIGO: SG-SST VERSIÓN 01

DATOS DEL EMPLEADO NOMBRES Y APELLIDOS No. IDENTIFICACION FECHA NACIMIENTO EMPRESA CARGO FECHA DE INGRESO

EPS A LA QUE ESTA AFILIADO AFP A LA QUE ESTA AFILIADO DIRECCION VIVIENDA TELEFONO VIVIENDA

NIVEL DE ESCOLARIDAD PRIMARIA

BACHILLERATO

ESTADO CIVIL No HIJOS PERSONAS A CARGO

____________________________________ FIRMA DEL TRABAJADOR

TECNICO

UNIVERSITARIO

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