Matric Ula

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MATRICULA DE ALUMNO Version:2 CENTRO codigo

F6060083

Nombre

DATOS DEL CURSO NOMBRE DEL CURSO:

N° ORDEN:

DOCENTE ENCARGADO:

CC N°.

FECHA INICIO: día:

mes:

año:

FECHA FINALIZACION: día:

mes:

DATOS DEL ALUMNO DOCUMENTO DE IDENTIDAD PRIMER APELLIDO SEXO

CC

TI

NIS

Cext RegC



SEGUNDO APELLIDO

Expedido en: Libreta Militar N° NOMBRES:

año:

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