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Denominación de documento normativo
Norma técnica "Disposiciones generales para la ejecución de mantenimiento y
acondicionamiento de infraestructura educativa bajo la modalidad de subvenciones"

Anexo Nº 5. Acta de representantes de la comisión responsable y del CONEI

PERIODO DE EJECUCIÓN (Indicar si corresponde a Mantenimiento o Acondicionamiento y el año)

DATOS DEL LOCAL EDUCATIVO

CÓDIGO DE LOCAL EDUCATIVO REGIÓN


,................................................................................................................................................................................................................................................................................................. .
NOMBRE (O NUMERO) DE LA I.E. O PROGRAMA DRE/UGEL
EDUCATIVO

COMISIÓN RESPONSABLE, O QUIEN HAGA SUS VECES

TIPOY NºDE
REPRESENTANTES APELLIDO PATERNO APELLIDO MATERNO NOMBRES
................................................. DOCUMENTO
RESPONSABLE DESIGNADO
.....................................
INTEGRANTE 1
·······················
INTEGRANTE 2

CONEI, O EL QUE HAGA SUS VECES

TIPOY NºDE
REPRESENTANTES APELLIDO PATERNO APELLIDO MATERNO NOMBRES
...................................... DOCUMENTO
INTEGRANTE 1
......................................
INTEGRANTE 2
·········································································································································································•·······················································································•··················
INTEGRANTE 3
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:-t.~

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