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PAPELETA DE RETENCION DE CELULAR PAPELETA DE RETENCION DE CELULAR

ESTUDIANTE: _________________________________________________________ ESTUDIANTE: _________________________________________________________


GRADO Y SECCION: __________________FECHA: _________HORA: __________ GRADO Y SECCION: __________________FECHA: _________HORA: __________
DOCENTE: ____________________________________________________________ DOCENTE: ____________________________________________________________
ÁREA: ________________________________________________________________ ÁREA: ________________________________________________________________
MODELO: _____________________________________________________________ MODELO: _____________________________________________________________
:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
MOTIVO: MOTIVO:
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________

OBSERVACIONES: OBSERVACIONES:
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________

____________________________ ______________________________ ____________________________ ______________________________


DOCENTE POLICIA ESCOLAR DOCENTE POLICIA ESCOLAR

PAPELETA DE RETENCION DE CELULAR PAPELETA DE RETENCION DE CELULAR


ESTUDIANTE: _________________________________________________________ ESTUDIANTE: _________________________________________________________
GRADO Y SECCION: __________________FECHA: _________HORA: __________ GRADO Y SECCION: __________________FECHA: _________HORA: __________
DOCENTE: ____________________________________________________________ DOCENTE: ____________________________________________________________
ÁREA: ________________________________________________________________ ÁREA: ________________________________________________________________
MODELO: _____________________________________________________________ MODELO: _____________________________________________________________
:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
MOTIVO: MOTIVO:
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________

OBSERVACIONES: OBSERVACIONES:
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________

____________________________ ______________________________ ____________________________ ______________________________


DOCENTE POLICIA ESCOLAR DOCENTE POLICIA ESCOLAR

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