JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Actualización de datos | Promoción Interna: Propuestas para EsSalud
Lea con atención y responda
Sign in to Google
to save your progress.
Learn more
* Indicates required question
CÓDIGO DE PLANILLA
*
Your answer
FECHA DE INGRESO A ESSALUD
*
MM
/
DD
/
YYYY
APELLIDOS
*
Your answer
NOMBRES
*
Your answer
RED ASISTENCIAL
*
Your answer
ACTUAL GRUPO OCUPACIONAL
*
Auxiliar
Técnico
Profesional
RÉGIMEN LABORAL
*
276
728
1057
CARGO A POSTULAR
*
Profesional
Técnico
DESCRIPCIÓN DEL CARGO
*
Your answer
SERUMS
*
Sí
No
FECHA DE TÍTULO
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report