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GOBIERNO DE PUERTO RICO DEPARTAMENTO DE EDUCACION Secretaria Asociada de Educaci6n Especial
QUE RECIBEN TRANSPORTACION ESCOLAR POR PORTEADOR

INFORME DE AUSENCIAS DE ESTUDIANTES CON IMPEDIMENTOS

Escuela: Mes:

_

Regi6n Educativa: Distrito Escolar:

_

NOMBRE DEL ESTUDIANTE

RAZ6N DE LA AUSENCIA

FECHA DE LA AUSENCIA DEL ESTUDIANTE

FECHADE LA AUSENCIA DEL PORTEADOR

NOMBRE DEL PORTEADOR

Certifieo Correcto:_:--_:--:-::::-:--,-_ Firma del Director de Escuela 0 su Representante

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GOBIERNO DE PUERTO RICO DEPARTAMENTO DE EDUCACION Secretaria Asociada de Educaci6n Especial
QUE RECIBEN TRANSPORTACION ESCOLAR POR PORTEADOR

INFORME DE AUSENCIAS DE ESTUDIANTES CON IMPEDIMENTOS

Escuela: Mes:

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Regi6n Educativa: Distrito Escolar:

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NOMBRE DEL ESTUDIANTE

RAZ6N DE LA AUSENCIA

FECHA DE LA AUSENCIA DEL ESTUDIANTE

FECHADE LA AUSENCIA DEL PORTEADOR

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Certifieo Correcto:_:--_:--:-::::-:--,-_ Firma del Director de Escuela 0 su Representante

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