Formato Futsal B.docx
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INSTITUCION EDUCATIVA “JUAN DE DIOS VALENCIA”
DISCIPLINA: FUTBOL VARONES CATEGORÍA: “B”
CERTIFICADO MÉDICO N° 01
APELLIDOS Y NOMBRES
DNI
FECHA DE NACIMIENTO
TINUCO PERLAS, Juan Alberto HUACHACA PEREZ, Yoel
62183757
05/08/05
03
GUEVARA ALMIRON, Exon Elisvan
71786815
05/02/05
04
PINEDA ALCCA, Victor Daniel
60556389
16/04/05
05
VALENCIA PERLAS, Jhon Elmer
74990472
06
PINEDA SILLOCCA, Ricardo Owen
71791543
15/03/05
07
PFOCCORI HUILLCA, Francine Serapio
71794983
31/01/04
08
QUISPE CHECCO, Edison
60605104
02/12/05
09
HUAÑAHUI PUMACALLAHUI, Joel
75072818
01/02/05
10
PACHECHO SURI, dilman Adir
02
DIAGNÓSTICO
DISCIPLINA: FUTBOL VARONES CATEGORÍA: “B”
CERTIFICADO MÉDICO N° 01
APELLIDOS Y NOMBRES
DNI
FECHA DE NACIMIENTO
TINUCO PERLAS, Juan Alberto HUACHACA PEREZ, Yoel
62183757
05/08/05
03
GUEVARA ALMIRON, Exon Elisvan
71786815
05/02/05
04
PINEDA ALCCA, Victor Daniel
60556389
16/04/05
05
VALENCIA PERLAS, Jhon Elmer
74990472
06
PINEDA SILLOCCA, Ricardo Owen
71791543
15/03/05
07
PFOCCORI HUILLCA, Francine Serapio
71794983
31/01/04
08
QUISPE CHECCO, Edison
60605104
02/12/05
09
HUAÑAHUI PUMACALLAHUI, Joel
75072818
01/02/05
10
PACHECHO SURI, dilman Adir
02
DIAGNÓSTICO
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