REPUBLICA BOLIVARIANA DE VENEZUELA

MINISTERIO DEL PODER POPULAR PARA LA EDUCACION

U.E.P COLEGIO “VIRGEN DEL PINO”
BRISAS DE PRO PATRIA – CODIGO DEA: PD00580105
TELEFONO: 0212-871-7047

INFORME DIAGNOSTICO

Estudiante : ___________________________________________________________________
Proyecto: _____________________________________________________________________

Lapso: 1 ro( ) 2do. ( ) 3ro. ( ) Fecha: desde_________ Hasta:___________

Días Hábiles : _____________Asistencia: _______________ Inasistencia: _________________

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OBSERVACIONES DEL DOCENTE:

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OBSERVACIONES DEL REPRESENTANTE:

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Docente _________________________ Representante
Directora