Fut Aurich.docx
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SELLO DE RECEPCIÓN
INSTITUCIÓN EDUCATIVA
JUAN AURICH PASTOR BATANGRANDE – PÍTIPO
FORMULARIO ÚNICO DE TRÁMITE (FUT)
SUMILLA Solicito:__________________________ _________________________________
Prof. CARLOS ALBERTO BERNILLA SÁNCHEZ
_________________________________
Director de la Institución Educativa “Juan Aurich Pastor” NOMBRES Y APELLIDOS DEL SOLICITANTE
DNI
TELÉFONO / CELULAR
CORREO ELECTRÓNICO
DOMICILIO (Calle, Caserío, Centro Poblado)
FUNDAMENTO DE LA SOLICITUD _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________
DOCUMENTOS QUE SE ADJUNTA 1)_____________________________________________________________________________ 2)_____________________________________________________________________________ LUGAR, FECHA
FIRMA
PROVEIDO
INSTITUCIÓN EDUCATIVA
JUAN AURICH PASTOR BATANGRANDE – PÍTIPO
FORMULARIO ÚNICO DE TRÁMITE (FUT)
SUMILLA Solicito:__________________________ _________________________________
Prof. CARLOS ALBERTO BERNILLA SÁNCHEZ
_________________________________
Director de la Institución Educativa “Juan Aurich Pastor” NOMBRES Y APELLIDOS DEL SOLICITANTE
DNI
TELÉFONO / CELULAR
CORREO ELECTRÓNICO
DOMICILIO (Calle, Caserío, Centro Poblado)
FUNDAMENTO DE LA SOLICITUD _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________
DOCUMENTOS QUE SE ADJUNTA 1)_____________________________________________________________________________ 2)_____________________________________________________________________________ LUGAR, FECHA
FIRMA
PROVEIDO
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