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REPUBLICA DOMINICANA

MINISTERIO DE DEFENSA DE LAS FUERZAS ARMADAS
DIRECCIÓN GENERAL DEL SERVICIO MILITAR VOLUNTARIO

“Todo por la Patria”
“Año del Bicentenario del Natalicio de Juan Pablo Duarte”

PROGRAMA DE ADIESTRAMIENTO ESPECIAL PARA
ESTUDIANTES DE EDUCACION MEDIA.
XV PROMOCIÓN
NOMBRES
APELLIDOS

FOTO

NÚMERO DE CÉDULA
FECHA DE NACIMIENTO
LUGAR DE NAC.

NOMBRE DEL CENTRO EDUCATIVO

NACIONALIDAD
DIRECCIÓN
TEL__________________________ CEL_________________________OTROS__________________________________
TIPO DE SANGRE________________ ESTATURA_____________ SEXO___________________________________
ALERGICO (A) ______________________

SEÑAS PARTICULARES_______________________________________

NIVEL ACADEMICO__________________________________________________________________________________
CURSOS TECNICOS_________________________________________________________________________________
IDIOMAS____________________________________________________________________________________________
NÚMEROS DE:

CALZADO_________ CAMISA_________ PANTALÓN__________

BAUTIZADO:

SI______NO_____

NOMBRE PADRE ___________________________________________________________________________________
NOMBRE MADRE ___________________________________________________________________________________
NOMBRES HERMANOS _____________________________________________________________________________
HIJ@S ______________________________________________________________________________________________
Correo Electronico__________________________________________________________________________________
OTROS______________________________________________________________________________________________
¿SI PUDIERA INGRESAR A LAS FF.AA, DONDE LE GUSTARIA?_____________________________________

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Formulario estudiantes (2)

  • 1. REPUBLICA DOMINICANA MINISTERIO DE DEFENSA DE LAS FUERZAS ARMADAS DIRECCIÓN GENERAL DEL SERVICIO MILITAR VOLUNTARIO “Todo por la Patria” “Año del Bicentenario del Natalicio de Juan Pablo Duarte” PROGRAMA DE ADIESTRAMIENTO ESPECIAL PARA ESTUDIANTES DE EDUCACION MEDIA. XV PROMOCIÓN NOMBRES APELLIDOS FOTO NÚMERO DE CÉDULA FECHA DE NACIMIENTO LUGAR DE NAC. NOMBRE DEL CENTRO EDUCATIVO NACIONALIDAD DIRECCIÓN TEL__________________________ CEL_________________________OTROS__________________________________ TIPO DE SANGRE________________ ESTATURA_____________ SEXO___________________________________ ALERGICO (A) ______________________ SEÑAS PARTICULARES_______________________________________ NIVEL ACADEMICO__________________________________________________________________________________ CURSOS TECNICOS_________________________________________________________________________________ IDIOMAS____________________________________________________________________________________________ NÚMEROS DE: CALZADO_________ CAMISA_________ PANTALÓN__________ BAUTIZADO: SI______NO_____ NOMBRE PADRE ___________________________________________________________________________________ NOMBRE MADRE ___________________________________________________________________________________ NOMBRES HERMANOS _____________________________________________________________________________ HIJ@S ______________________________________________________________________________________________ Correo Electronico__________________________________________________________________________________ OTROS______________________________________________________________________________________________ ¿SI PUDIERA INGRESAR A LAS FF.AA, DONDE LE GUSTARIA?_____________________________________