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FORMATO DE REGISTRO DE

DENUNCIAS RECIBIDAS DE NIEZ Y


ADOLESCENCIA
DELEGACIN
QUE
TOMA
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LA

DENUNCIA:

NMERO
REGISTRO:__________________________________________________________
FECHA
DE
INGRESO
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DE

DE
DENUNCIA:

NIO/A O ADOLESCENTE
NOMBRE COMPLETO:
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EDAD:
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DIRECCIN DE RESIDENCIA:
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DIRECCIN DE LUGAR DE ESTUDIO:
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DENUNCIANTE
NOMBRE COMPLETO:
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DPI:
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TELFONO:
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PRESUNTO AGRESOR
NOMBRE COMPLETO:
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DPI:
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EDAD:
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TELFONO:
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DERECHOS VULNERADOS Y RELACIN DE LOS HECHOS


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