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FORMULARIO DE PRE INSCRIPCIÓN
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Nombres
*
Your answer
Apellidos
*
Your answer
N° DNI
*
Your answer
Fecha de Nacimiento
*
MM
/
DD
/
YYYY
Correo electrónico
*
Your answer
N° de celular
*
Your answer
I.E. EIB donde labora
*
Your answer
Código modular de la I.E.
*
Your answer
Nivel
*
Inicial
Primaria
DRE
*
Your answer
UGEL
*
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Distrito
*
Your answer
Comunidad
*
Your answer
Nivel de dominio oral de lengua originaria
*
Intermedio
Avanzado
Nivel de dominio escrito de lengua originaria
*
Básico
Intermedio
Avanzado
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