MEMBRESIAORGANIZACIÓN CULTURAL SKALD

PERSONAL

NOMBRES Y APELLIDOS: __________________________________________________________________________________________________

DOCUMENTO IDENTIDAD: _____________________________ DE: _____________________________ R.H.: __________________________

FECHA Y LUGAR DE NACIMIENTO: ______________________________________________________________________________________

DIRECCIÓN: _______________________________________________ BARRIO:_______________________ ESTRATO: __________________

TEL: __________________________ CEL: _____________________________ E-MAIL: ________________________________________________

PERMISO DE CONDUCIR: _____________________ E.P.S.: ____________________________ NUCLEO FAMILIAR: ________________

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ACADEMIA

SECUNDARIA:

INSTITUCION: ______________________________________________________________________________________________________________

FECHA INICIO: _________________________________ CURSOS: ________________________________ IDIOMA(S): ___________________

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DEPORTE(S): _______________________________________________________________________________________________________________

UNIVERSIDAD:

INSTITUCION: ______________________________________________________________________________________________________________

CARRERA: _____________________________________________________________ FECHA INICIO: ___________________________________

SEMESTRES:_________________ OTROS ESTUDIOS: ________________________________________________________________________

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IDIOMA(S): ________________________________________________________________________________________________________________

DEPORTE(S): _______________________________________________________________________________________________________________

FOTO

LABORAL

NOMBRE EMPRESA: _______________________________________________________________________________________________________

CARGO: ____________________________________ FECHA INICIO: _____________________________ TIPO: __________________________

FECHA Y LUGAR DE NACIMIENTO: ______________________________________________________________________________________

DIRECCIÓN: _______________________________________________ BARRIO:_______________________TEL: __________________________

HUMANIDADES

HABILIDADES: ____________ CUÁLES: ______________________________________________________________________________________

ASPIRACIONES: ____________________________________________________________________________________________________________

CURSOS / DIPLOMADOS / TALLERES:___________________________________________________________________________________

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PRÁCTICA RELIGIOSA: ____________________________________________________________________________________________________

PAISES QUE HA VISITADO: _______________________________________________________________________________________________

SKALD

FECHA INGRESO: __________________________________________ NIVEL EDUCATIVO:_________________________________________

PSEUDÓNIMO: _____________________________________________________________________________________________________________

STATUS: _____________________________ EXPERIENCIA: __________________________ CASA FAMILIAR:_______________________

REPUTACIÓN: _______________________ CONDICIÓN: ___________________________ GREMIO(S):______________________________

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TITULO(S): _________________________________________________________________________________________________________________

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OFICIO(S): __________________________________________________________________________________________________________________

______________________________________________ ______________________________________________ FIRMA MIEMBRO FIRMA DIRECTOR