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Programa de Protección Civil y Emergencia Escolar - SEV

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DOMICILIO:__________________________________________<br />

CENSO DE LA POBLACION QUE<br />

OCUPA EL PLANTEL<br />

PLANTEL:_______________________________________________<br />

TELEFONO:__________________________________________<br />

ANEXO 10<br />

NOMBRE: ___________________________________________________________________________________________________<br />

R.F.C.:_______________________________________________ PROFESION:______________________________________________________<br />

PUESTO QUE DESEMPEÑA:__________________________________________________________________________________<br />

__________________________________________________________________________________________________________ _______________<br />

ÁREA DE ADSCRIPCION:____________________________________________________________________________________<br />

__________________________________________________________________________________________________________<br />

PISO:____________________________________________________ TEL. OFICINA:_______________________________<br />

TEL. PARTICULAR:_________________________<br />

ENFERMEDADES:____________________________________________________________________________________<br />

_____________________________________________________________________________________________________<br />

_____________________________________________________________________________________________________<br />

_____________________________________________________________________________________________________<br />

TRATAMIENTO:_______________________________________________________________________________________<br />

_____________________________________________________________________________________________________<br />

_____________________________________________________________________________________________________<br />

_____________________________________________________________________________________________________<br />

TIPO SANGUINEO:___________________________________ALERGIA:_________________________________<br />

OTROS:______________________________________________________________________________________________<br />

_____________________________________________________________________________________________________<br />

_____________________________________________________________________________________________________<br />

_____________________________________________________________________________________________________<br />

NOMBRE DEL RESPONSABLE: FIRMA<br />

PROGRAMA ESCOLAR DE<br />

PROTECCIÓN CIVIL<br />

Coordinación para la <strong>Protección</strong> <strong>Civil</strong>

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