“AÑO DE LA UNIDAD, LA PAZ Y EL DESARROLLO”

ACTA N°______
LUGAR: ____________________________________ ___________. FECHA: _____/_____/_______.
HORA DE INICIO: ________/_______.
NOMBRES: ________________________________________________________________________
MOTIVO DE LA ENTREVISTA:
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DESCRIPCIÓN:
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ACUERDOS:
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HORA DE CULMINACIÓN________/______.

Firme de Padres / Madre Firma del Docente

DNI:______________________