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FORMATO N OE-16

HOJA DE TAREO DE PARTICIPANTES


Cdigo del Convenio : !rg0nismo E1ec2tor : 10-0099-AC-55 Mes de Reporte:

ME !RAM"EN#! Nombre $ AMP%"AC"&N del Proyecto: 'E% CAMP! 'EP!R#"(! 'E% CEN#R! P!)%A'! 'E %%"*%%A#AM)!+ '",#R"#! 'E C-A("N"%%! $AR!."%CA -/AN/C! M/N"C"PA%"'A' PR!("NC"A% 'E $AR!."%CA
Se o H M 1! S 1 3 4 5 6 7 9 10 11 13 14 15 15 18 16 17 19 30 31 33 34 35 35 38 36 37 39 40 41 43 44 45 45 48 46 47 49 50 51 53 54 55 55 58 56 57 59 50 51 53 54 55 55 58 56 57 59 80 81 83 84 85 85 86 87 89 60 61 63 64 65 65 68 DIA S

ITEM

Apellidos y Nombres

Do()me*+o de Ide*+id,d -DNI.

To+,l de 1" D/,s D # # $ # # # # # # # $ # # # # # % # # # # # # # # # # # ! # # # # ! # # # # " # # %''

ANTONIO ANTONIO ANTONIO BASILIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BETETA BETETA BETETA BETETA BETETA BETETA BRICE#O CASIMIRO CECILIO ENCARNACION ENCARNACION ENRRIQUE ESTEBAN GOMEZ GOMEZ GOMEZ "ERRERA "UAMAN "UAMAN "UAMAN "UA!ANA! ISLA ISLA LOARTE MEDRANO ME%IA ORTEGA AUCAR OMA OMA OMA OMA ONCIANO RAIMUNDO RAMIRES RAMIREZ RAMIREZ RAMIREZ RAMIREZ ROBLES ROBLES RO%AS ROSARIO ROSARIO ROSARIO ROSARIO ROSARIO SALVADOR TAFUR TAFUR TEM LADERA TORIBIO TUCTO VEGA VENTURA VENTURA VENTURA VENTURA VENTURA VENTURA VIGILIO VILCA VILLEGAS

CASIMIRO CASIMIRO CASIMIRO ORTIZ GOMEZ ACOSTA ROBLES VENTURA ONCEANO "UA!ANA! SOLIS BENANCIO VENTURA CECILIO A AS VENTURA VARGAS SANTA CRUZ BASILIO BRICE#O BRICE#O "UA!ANA! LOARTE FANDE VENTURA ROBLES CAM OS VENTURA TORIBIO RAMIREZ BACILIO CABRERA CABRERA VENTURA OMA ROBLES RE!ES VARGAS GOMEZ BENANCIO TORIBIO RAMIREZ ANTONIO GABINO ACOSTA DE RABINES MATO "UAMAN CAM OS GONZALES DIAZ LEANDRO VENTURA CECILIO "UAMAN RUMI VENANCIO TORRES BENANCIO BENANCIO DELGADO VENTURA "UAMAN ES INOZA CASIMIRO VILCA VILCA GONZALES VILCA GONZALES GOMEZ ESTEBAN RAMOS

ROMELIA CELIA LIDIA MARIELA FELISA AQUILINA TRIME WILMER LORENZO !OLANDA ESTEFANIA VIRGILIO NOLBERTO TEODORO VIDAL MARGARITO DOMITILA GUILLERMO VICTOR ADRIAN LEONIDES INES VICTOR RAUL "I OLA MARIA MATO $ENE GRIMALDA ARTEMIA RU ERTO MARINA SESI TOMAS CELINA FELICIANA RIMITIVA !"ENLI !USMERSOL RODELIO RESILA ISABELA %UAN GUILLERMA VIDAL MARIA %UAN VILLANUEVA "I OLITA TIMOTEA "ONORATA !ISSELA SEBASTIAN FELI A SANTA FELISITA MARIELA BERNALDO LUCIO ROLIN ABRA"AM TADEO TEOFILO !OLANDA NELINA NORA SUSANA CARMELO ERIBERTO OCTAVIA LUCINDA EUDOCIA CRUELA NELINDA ESTELA GRACIELA RUDENCIO WILIAN ANDREA NOEL! NEL!

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TOTA&ES

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V B Coordinador Tecnico Externo


Nombre: N9 Reg: Pro;::

Responsable Tcnico

Nombre: N9 'oc: "dentid0d: N9 Reg: Pro;::

FORMATO N OE-16

HOJA DE TAREO DE PARTICIPANTES


Cdigo del Convenio : Nombre del Proyecto: !rg0nismo E1ec2tor :
Se o H M %1 S 1 3 4 5 5 8 6 7 9 10 11 13 14 15 15 18 16 17 19 30 31 33 34 35 35 38 36 37 39 40 41 43 44 45 45 48 46 47 49 50 51 53 54 55 55 58 56 57 59 50 51 53 54 55 55 58 56 57 59 80 81 83 84 85 85 88 86 87 89 60 61 63 64 65 65 68 1 D $ & % M ' M 0 J 6 2 ! S " D # & 11 M 11 M 1$ J 1% 2 1' S 10 D 16 & 1! M 1" M

10-0099-AC-55

Mes de Reporte:

,EP#"EM)RE

Pl0<o de E1ec2cion:

75 '"A, /#"%E,

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DIAS 1# J $1 2 $1 S $$ D $% & $' M $0 M $6 J $! 2 $" S $# D %1 & To+,l de D/,s

ITEM

Apellidos y Nombres

Do()me*+o de Ide*+id,d -DNI.

ANTONIO ANTONIO ANTONIO BASILIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BETETA BETETA BETETA BETETA BETETA BETETA BRICE#O CASIMIRO CECILIO ENCARNACION ENCARNACION ENRRIQUE ESTEBAN GOMEZ GOMEZ GOMEZ "ERRERA "UAMAN "UAMAN "UAMAN "UA!ANA! ISLA ISLA LOARTE MEDRANO ME%IA ORTEGA AUCAR OMA OMA OMA OMA ONCIANO RAIMUNDO RAMIRES RAMIREZ RAMIREZ RAMIREZ RAMIREZ ROBLES ROBLES RO%AS ROSARIO ROSARIO ROSARIO ROSARIO ROSARIO SALVADOR TAFUR TAFUR TEM LADERA TORIBIO TUCTO VARA VEGA VENTURA VENTURA VENTURA VENTURA VENTURA VENTURA VIGILIO VILCA VILLEGAS

CASIMIRO CASIMIRO CASIMIRO ORTIZ ACOSTA GOMEZ GOMEZ ACOSTA ROBLES VENTURA ONCEANO "UA!ANA! SOLIS BENANCIO VENTURA CECILIO A AS VENTURA VARGAS SANTA CRUZ BASILIO BRICE#O BRICE#O "UA!ANA! LOARTE FANDE VENTURA ROBLES CAM OS VENTURA TORIBIO RAMIREZ BACILIO CABRERA CABRERA VENTURA OMA ROBLES RE!ES VARGAS GOMEZ BENANCIO TORIBIO RAMIREZ ANTONIO GABINO ACOSTA DE RABINES MATO "UAMAN CAM OS GONZALES DIAZ LEANDRO VENTURA CECILIO "UAMAN RUMI VENANCIO TORRES BENANCIO BENANCIO DELGADO VENTURA "UAMAN "UAMAN ES INOZA CASIMIRO VILCA VILCA GONZALES VILCA GONZALES GOMEZ ESTEBAN RAMOS

ROMELIA CELIA LIDIA MARIELA DAVID ISABEL REINO FELISA AQUILINA TRIME WILMER LORENZO !OLANDA ESTEFANIA VIRGILIO NOLBERTO TEODORO VIDAL MARGARITO DOMITILA GUILLERMO VICTOR ADRIAN LEONIDES INES VICTOR RAUL "I OLA MARIA MATO $ENE GRIMALDA ARTEMIA RU ERTO MARINA SESI TOMAS CELINA FELICIANA RIMITIVA !"ENLI !USMERSOL RODELIO RESILA ISABELA %UAN GUILLERMA VIDAL MARIA %UAN VILLANUEVA "I OLITA TIMOTEA "ONORATA !ISSELA SEBASTIAN FELI A SANTA FELISITA MARIELA BERNALDO LUCIO ROLIN ABRA"AM TADEO TEOFILO !OLANDA NELINA NORA SUSANA CARMELO ERIBERTO EDWIN ANTONIO OCTAVIA LUCINDA EUDOCIA CRUELA NELINDA ESTELA GRACIELA RUDENCIO WILIAN ANDREA NOEL! NEL!

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TOTA&ES

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Nombre: N9 'oc: "dentid0d: N9 Reg: Pro;::

V B Coordinador Tecnico Externo


Nombre: N9 Reg: Pro;::

Responsable Tcnico

FORMATO N OE-16

HOJA DE TAREO DE PARTICIPANTES


Cdigo del Convenio : !rg0nismo E1ec2tor : 10-0099-AC-55 Mes de Reporte:

ME !RAM"EN#! Nombre del $ AMP%"AC"&N Proyecto: 'E% CAMP! 'EP!R#"(! 'E% CEN#R! P!)%A'! 'E %%"*%%A#AM)!+ '",#R"#! 'E C-A("N"%%! $AR!."%CA -/AN/C! M/N"C"PA%"'A' PR!("NC"A% 'E $AR!."%CA
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ITEM

Apellidos y Nombres

Do()me*+o de Ide*+id,d -DNI.

ANTONIO ANTONIO ANTONIO BASILIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BETETA BETETA BETETA BETETA BETETA BETETA BRICE#O CASIMIRO CECILIO ENCARNACION ENCARNACION ENRRIQUE ESTEBAN GOMEZ GOMEZ GOMEZ "ERRERA "UAMAN "UAMAN "UAMAN "UA!ANA! ISLA ISLA LOARTE MEDRANO ME%IA ORTEGA AUCAR OMA OMA OMA OMA ONCIANO RAIMUNDO RAMIRES RAMIREZ RAMIREZ RAMIREZ RAMIREZ ROBLES ROBLES ROJAS ROSARIO ROSARIO ROSARIO ROSARIO ROSARIO SALVADOR TAFUR TAFUR TEM LADERA TORIBIO TUCTO VARA VEGA VENTURA VENTURA VENTURA VENTURA VENTURA VENTURA VIGILIO VILCA VILLEGAS BRICE#O "UAMAN GOMES GOMEZ VARA "ERRERA

CASIMIRO CASIMIRO CASIMIRO ORTIZ ACOSTA GOMEZ GOMEZ ACOSTA ROBLES VENTURA ONCEANO "UA!ANA! SOLIS BENANCIO VENTURA CECILIO PAPAS VENTURA VARGAS SANTA CRUZ BASILIO BRICE#O BRICE#O "UA!ANA! LOARTE FANDE VENTURA ROBLES CAM OS VENTURA TORIBIO RAMIREZ BACILIO CABRERA CABRERA VENTURA OMA ROBLES RE!ES VARGAS GOMEZ BENANCIO TORIBIO RAMIREZ ANTONIO GABINO ACOSTA DE RABINES MATO "UAMAN CAM OS GONZALES DIAZ LEANDRO VENTURA CECILIO "UAMAN RUMI VENANCIO TORRES BENANCIO BENANCIO DELGADO VENTURA "UAMAN "UAMAN ES INOZA CASIMIRO VILCA VILCA GONZALES VILCA GONZALES GOMEZ ESTEBAN RAMOS "UAMAN RAMIREZ SOTO TORIBIO "UMAN CAM OS

ROMELIA CELIA LIDIA MARIELA DAVID ISABEL REINO FELISA AQUILINA TRIME WILMER LORENZO !OLANDA ESTEFANIA VIRGILIO NOLBERTO TEODORO VIDAL MARGARITO DOMITILA GUILLERMO VICTOR ADRIAN LEONIDES INES VICTOR RAUL "I OLA MARIA MATO $ENE GRIMALDA ARTEMIA RU ERTO MARINA SESI TOMAS CELINA FELICIANA RIMITIVA !"ENLI !USMERSOL RODELIO RESILA ISABELA %UAN GUILLERMA VIDAL MARIA %UAN VILLANUEVA "I OLITA TIMOTEA "ONORATA !ISSELA SEBASTIAN FELI A SANTA FELISITA MARIELA BERNALDO LUCIO ROLIN ABRA"AM TADEO TEOFILO YOLANDA NELINA NORA SUSANA CARMELO ERIBERTO EDWIN ANTONIO OCTAVIA LUCINDA EUDOCIA CRUELA NELINDA ESTELA GRACIELA RUDENCIO WILIAN ANDREA NOELY NEL! TEOFILA SILVIA SOLIS RAUL EDWIN ANTONIO FELI E

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22731615

5 11 '"6

TOTA&ES

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

V B Coordinador Tecnico Externo


Nombre: N9 Reg: Pro;::

Responsable Tcnico

Nombre: N9 'oc: "dentid0d: N9 Reg: Pro;::

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

V B Coordinador Tecnico Externo


Nombre: N9 Reg: Pro;::

Responsable Tcnico

Nombre: N9 'oc: "dentid0d: N9 Reg: Pro;::

FORMATO N OE-16

HOJA DE TAREO DE PARTICIPANTES


Cdigo del Convenio : Nombre del Proyecto: !rg0nismo E1ec2tor :
Se o H M $# S 1! $1 0' 61 !$ !0 %1 D %1 & 1 M $ M % J ' 2 0 S 6 D ! & " M # M 11 J 11 2 1$ S 1% D 1' &

10-0099-AC-55

Mes de Reporte:

!C#/)RE

Pl0<o de E1ec2cion:

75 '"A, /#"%E,

ME !RAM"EN#! $ AMP%"AC"&N 'E% CAMP! 'EP!R#"(! 'E% CEN#R! P!)%A'! 'E %%"*%%A#AM)!+ '",#R"#! 'E C-A("N"%%! $AR!."%CA -/AN/C! M/N"C"PA%"'A' PR!("NC"A% 'E $AR!."%CA
DIAS 10 M 16 M 1! J 1" 2 1# S $1 D $1 & $$ M $% M $' J $0 2 $6 S $! D $" & $# M %1 M %1 J To+,l de D/,s

ITEM

Apellidos y Nombres

Do()me*+o de Ide*+id,d -DNI.

BENANCIO BETETA "UA!ANA! SALVADOR VENTURA VILCA

"UA!ANA! VENTURA BACILIO TORRES VILCA ESTEBAN

ESTEFANIA DOMITILA TOMAS YOLANDA GRACIELA ANDREA NOELY

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TOTA&ES

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V B Coordinador Tecnico Externo


Nombre: N9 Reg: Pro;::

Responsable Tcnico

Nombre: N9 'oc: "dentid0d: N9 Reg: Pro;::

FORMATO N OE-16

HOJA DE TAREO DE PARTICIPANTES


Cdigo del Convenio : Nombre del Proyecto: !rg0nismo E1ec2tor :
Se o H M 1! S 1 3 4 5 5 8 6 7 9 10 11 13 14 15 15 18 16 17 19 30 31 33 34 35 35 38 36 37 39 40 41 43 44 45 45 48 46 47 49 50 51 53 54 55 55 58 56 57 59 50 51 53 54 55 55 58 56 57 59 80 81 83 84 85 85 88 86 87 89 60 61 63 64 65 65 68 1" D 1# & $1 M $1 M $$ J $% 2 $' S $0 D $6 & $! M $" M $# J %1 2 %1 S 1 D $ &

10-0099-AC-55

Mes de Reporte:

A*!,#! - ,EP#"EM)RE

Pl0<o de E1ec2cion:

75 '"A, /#"%E,

ME !RAM"EN#! $ AMP%"AC"&N 'E% CAMP! 'EP!R#"(! 'E% CEN#R! P!)%A'! 'E %%"*%%A#AM)!+ '",#R"#! 'E C-A("N"%%! $AR!."%CA -/AN/C! M/N"C"PA%"'A' PR!("NC"A% 'E $AR!."%CA
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ITEM

Apellidos y Nombres

Do()me*+o de Ide*+id,d -DNI.

ANTONIO ANTONIO ANTONIO BASILIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BENANCIO BETETA BETETA BETETA BETETA BETETA BETETA BRICE#O CASIMIRO CECILIO ENCARNACION ENCARNACION ENRRIQUE ESTEBAN GOMEZ GOMEZ GOMEZ "ERRERA "UAMAN "UAMAN "UAMAN "UA!ANA! ISLA ISLA LOARTE MEDRANO ME%IA ORTEGA AUCAR OMA OMA OMA OMA ONCIANO RAIMUNDO RAMIRES RAMIREZ RAMIREZ RAMIREZ RAMIREZ ROBLES ROBLES RO%AS ROSARIO ROSARIO ROSARIO ROSARIO ROSARIO SALVADOR TAFUR TAFUR TEM LADERA TORIBIO TUCTO VARA VEGA VENTURA VENTURA VENTURA VENTURA VENTURA VENTURA VIGILIO VILCA VILLEGAS

CASIMIRO CASIMIRO CASIMIRO ORTIZ ACOSTA GOMEZ GOMEZ ACOSTA ROBLES VENTURA ONCEANO "UA!ANA! SOLIS BENANCIO VENTURA CECILIO A AS VENTURA VARGAS SANTA CRUZ BASILIO BRICE#O BRICE#O "UA!ANA! LOARTE FANDE VENTURA ROBLES CAM OS VENTURA TORIBIO RAMIREZ BACILIO CABRERA CABRERA VENTURA OMA ROBLES RE!ES VARGAS GOMEZ BENANCIO TORIBIO RAMIREZ ANTONIO GABINO ACOSTA DE RABINES MATO "UAMAN CAM OS GONZALES DIAZ LEANDRO VENTURA CECILIO "UAMAN RUMI VENANCIO TORRES BENANCIO BENANCIO DELGADO VENTURA "UAMAN "UAMAN ES INOZA CASIMIRO VILCA VILCA GONZALES VILCA GONZALES GOMEZ ESTEBAN RAMOS

ROMELIA CELIA LIDIA MARIELA DAVID ISABEL REINO FELISA AQUILINA TRIME WILMER LORENZO !OLANDA ESTEFANIA VIRGILIO NOLBERTO TEODORO VIDAL MARGARITO DOMITILA GUILLERMO VICTOR ADRIAN LEONIDES INES VICTOR RAUL "I OLA MARIA MATO $ENE GRIMALDA ARTEMIA RU ERTO MARINA SESI TOMAS CELINA FELICIANA RIMITIVA !"ENLI !USMERSOL RODELIO RESILA ISABELA %UAN GUILLERMA VIDAL MARIA %UAN VILLANUEVA "I OLITA TIMOTEA "ONORATA !ISSELA SEBASTIAN FELI A SANTA FELISITA MARIELA BERNALDO LUCIO ROLIN ABRA"AM TADEO TEOFILO !OLANDA NELINA NORA SUSANA CARMELO ERIBERTO EDWIN ANTONIO OCTAVIA LUCINDA EUDOCIA CRUELA NELINDA ESTELA GRACIELA RUDENCIO WILIAN ANDREA NOEL! NEL!

47181654 48288902 42527507 46547066 22711496 22711324 22747199 22751552 22752042 22709135 80454155 46065602 22709946 22709524 22709447 43130702 22749852 22710183 22708224 22711907 22710572 44684345 44684371 44711608 48077664 22710917 48521179 42651720 80077419 22711406 43737108 47324819 22484930 22753552 22711433 22758502 46542534 72257875 22710609 31667049 45944377 22709952 22710520 47517956 22751588 22708652 22710511 22710894 22711943 47412217 22709092 22711418 80045148 47323184 22711900 45374511 46892288 22752111 80043565 22719319 47245253 43967888 22750717 22709760 22710746 22731615 80093783 45357098 40726400 46822422 80045151 22750077 22707484 48606416 72246131 41359607
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TOTA&ES

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10-0097-AC-55

Mes de Reporte:

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ITEM

Apellidos y Nombres

Do()me*+o de Ide*+id,d -DNI.

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Nombre: N9 'oc: "dentid0d: N9 Reg: Pro;::

V B Coordinador Tecnico Externo


Nombre: N9 Reg: Pro;::

Responsable Tcnico