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TELEFONOPARTICULAR:_______________________CELULAR:_____________________
EMAIL:___________________________________
NUM.OFOLIOSEGUROESTUDIANTIL:______________________________________
NUM.OFOLIODESEGUROU.A.Z.:___________________________________________
CURP:__________________________
NOMBREDELOSPADRESOTUTOR
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DOMICILIO
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TELEFONOFAMILIAR:___________________________
LUGARASIGNADOPARALAESTANCIA:
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ASESORINTERNO:__________________________________________________________

OBSERVACIONES:_____________________________________________________________________
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