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FECHA EMISIÓN:
REPÚBLICA BOLIVARIANA DE VENEZUELA
MINISTERIO DEL PODER POPULAR PARA LA DEFENSA
VICEMINISTERIO DE SERVICIOS PARA LA DEFENSA
SECRETARÍA PERMANENTE DE REGISTRO Y ALISTAMIENTO PARA LA DEFENSA INTEGRAL DE LA
NACIÓN
REGISTRO PARA LA DEFENSA INTEGRAL DE LA NACIÓN DE PERSONA NATURAL
1. INFORMACION PERSONAL
2. INFORMACION SOCIO ECONOMICA
3. INFORMACION MILITAR
INSTRUCCIÓN PREMILITAR SI NO
NOMBRE DEL INSTITUTO:
SERVICIO MILITAR SI NO SITUACIÓN ACTUAL:
CATEGORÍA: COMPONENTE: UNIDAD:
ÁREA DE DESEMPEÑO: ESPECIALIDAD:
FECHA DE INGRESO: FECHA DE EGRESO: JERARQUÍA:
PROFESIONAL MILITAR SI NO SITUACION ACTUAL:
COMPONENTE: CATEGORIA:
ESPECIALIDAD: GRADO:
FECHA DE INGRESO: FECHA DE EGRESO:
MILICIA BOLIVARIANA SI NO
GRADO: ESPECIALIDAD:
AGRUPAMIENTO DE MILICIA: ÁREA DE DESEMPEÑO:
FECHA DE INGRESO:
RESERVA SI NO
BATALLÓN O UNIDAD DE ASIGNACIÓN:
ÁREA DE DESEMPEÑO: FECHA DE ASIGNACIÓN:
REPÚBLICA BOLIVARIANA DE VENEZUELA
MINISTERIO DEL PODER POPULAR PARA LA DEFENSA
VICEMINISTERIO DE SERVICIOS PARA LA DEFENSA
SECRETARIA PERMANENTE DE REGISTRO Y ALISTAMIENTO
PARA LA DEFENSA INTEGRAL DE LA NACIÓN
INFORMACIÓN SOCIOECONÓMICA:
GRADO DE INSTRUCCIÓN:
OCUPACIÓN:
CARNET DE INSCRIPCIÓN MILITAR EMPRESA:
DATOS PERSONALES:
APELLIDOS:
NOMBRES:
INFORMACIÓN MILITAR:
MILITAR PROFESIONAL
CÉDULA: MILICIANO
DIRECCIÓN DOMICILIARIA:
PAÍS
RESERVISTA
ESTADO
MUNICIPIO
PARROQUIA FECHA EMISIÓN NRO. REGISTRO
PARROQUIA:
MUNICIPIO:
ESTADO:
DIRECCIÓN EMPRESA
PAIS:
TELÉFONO:
ESPECIALIDAD:
NOMBRE DEL INSTITUTO:
EMPRESA:
NO
ESTUDIA SI
GRADO DE INSTRUCCIÓN:
TIPO DE ESTUDIO:
INSTITUCIÓN
NRO. REGISTRO
C.I.: APELLIDOS NOMBRES
SEXO: FECHA DE NACIMIENTO: RIF EDO CIVIL:
VENEZOLANO POR: NRO. GACETA FECHA:
LUGAR DE NACIMIENTO:
PAIS: ESTADO: MUNICIPIO: PARROQUIA:
DIRECCIÓN DOMICILIARIA:
PAIS: ESTADO: MUNICIPIO: PARROQUIA:
TIPO VÍA: NOMBRE DE LA VÍA TIPO ÁREA DESC. ÁREA:
TIPO INMUEBLE NOMBRE INMUEBLE NRO. INMUEBLE:
TELÉFONO HAB: TELEFONO CEL: TELEFONO OFIC.:
CORREO ELECTRÓNICO: GRUPO SANGUÍNEO:
HIJOS SI NO ELEGIBLE SI N
TRABAJA SI NO OCUPACIÓN U OFICIO:
FOTO

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  • 1. : FECHA EMISIÓN: REPÚBLICA BOLIVARIANA DE VENEZUELA MINISTERIO DEL PODER POPULAR PARA LA DEFENSA VICEMINISTERIO DE SERVICIOS PARA LA DEFENSA SECRETARÍA PERMANENTE DE REGISTRO Y ALISTAMIENTO PARA LA DEFENSA INTEGRAL DE LA NACIÓN REGISTRO PARA LA DEFENSA INTEGRAL DE LA NACIÓN DE PERSONA NATURAL 1. INFORMACION PERSONAL 2. INFORMACION SOCIO ECONOMICA 3. INFORMACION MILITAR INSTRUCCIÓN PREMILITAR SI NO NOMBRE DEL INSTITUTO: SERVICIO MILITAR SI NO SITUACIÓN ACTUAL: CATEGORÍA: COMPONENTE: UNIDAD: ÁREA DE DESEMPEÑO: ESPECIALIDAD: FECHA DE INGRESO: FECHA DE EGRESO: JERARQUÍA: PROFESIONAL MILITAR SI NO SITUACION ACTUAL: COMPONENTE: CATEGORIA: ESPECIALIDAD: GRADO: FECHA DE INGRESO: FECHA DE EGRESO: MILICIA BOLIVARIANA SI NO GRADO: ESPECIALIDAD: AGRUPAMIENTO DE MILICIA: ÁREA DE DESEMPEÑO: FECHA DE INGRESO: RESERVA SI NO BATALLÓN O UNIDAD DE ASIGNACIÓN: ÁREA DE DESEMPEÑO: FECHA DE ASIGNACIÓN: REPÚBLICA BOLIVARIANA DE VENEZUELA MINISTERIO DEL PODER POPULAR PARA LA DEFENSA VICEMINISTERIO DE SERVICIOS PARA LA DEFENSA SECRETARIA PERMANENTE DE REGISTRO Y ALISTAMIENTO PARA LA DEFENSA INTEGRAL DE LA NACIÓN INFORMACIÓN SOCIOECONÓMICA: GRADO DE INSTRUCCIÓN: OCUPACIÓN: CARNET DE INSCRIPCIÓN MILITAR EMPRESA: DATOS PERSONALES: APELLIDOS: NOMBRES: INFORMACIÓN MILITAR: MILITAR PROFESIONAL CÉDULA: MILICIANO DIRECCIÓN DOMICILIARIA: PAÍS RESERVISTA ESTADO MUNICIPIO PARROQUIA FECHA EMISIÓN NRO. REGISTRO PARROQUIA: MUNICIPIO: ESTADO: DIRECCIÓN EMPRESA PAIS: TELÉFONO: ESPECIALIDAD: NOMBRE DEL INSTITUTO: EMPRESA: NO ESTUDIA SI GRADO DE INSTRUCCIÓN: TIPO DE ESTUDIO: INSTITUCIÓN NRO. REGISTRO C.I.: APELLIDOS NOMBRES SEXO: FECHA DE NACIMIENTO: RIF EDO CIVIL: VENEZOLANO POR: NRO. GACETA FECHA: LUGAR DE NACIMIENTO: PAIS: ESTADO: MUNICIPIO: PARROQUIA: DIRECCIÓN DOMICILIARIA: PAIS: ESTADO: MUNICIPIO: PARROQUIA: TIPO VÍA: NOMBRE DE LA VÍA TIPO ÁREA DESC. ÁREA: TIPO INMUEBLE NOMBRE INMUEBLE NRO. INMUEBLE: TELÉFONO HAB: TELEFONO CEL: TELEFONO OFIC.: CORREO ELECTRÓNICO: GRUPO SANGUÍNEO: HIJOS SI NO ELEGIBLE SI N TRABAJA SI NO OCUPACIÓN U OFICIO: FOTO