The International Association forthe Exchange of Students for

Technical Experience

INSCRIPCIÓN AL COMITÉ IAESTE

COMITÉ LOCAL:_________Lima______________

PERSONAL INFORMATION
1. Name: 5. Sex: ________Male_________
José Carlos__________________________ 6. Cellphone:______940623313____________
___

2. Last Name: 7. Email: mezalinoli@gmail.com____________

Meza_________________________ 8. Phone: (_____)________________________
3. DNI: 72391552________________ 9. Day of Birth: 03/01/95_________________________
_
4. Address: 10. Place of Birth: Lima____________________________
Gerardo Unger 113, San Martin de Porres L
11. Resident City:Lima_____________________________
i
____________________________________________
m
a

ACADEMIC INFORMATION
12. University:Untels_____________________________ 14. Specialization:_______________________________
13. Faculty: _________________________________
___ 15. Semester: _________________

Agradecemos tu interés en IAESTE. No olvides enviar tu CV y un screenshot de tu Intranet a:

Muy pronto nos comunicaremos contigo para continuar con el admision.iaeste@gmail.com.
proceso de admisión.

16. Fecha: ______04/05/18_________

Website: iaeste.udep.pe Av. Ramón Mugica 131, Urb. San Eduardo

- Piura, Perú
Email: peru.iaeste@gmail.com Universidad de Piura