Integral Evaluation Form for EBR 2009
Integral Evaluation Form for EBR 2009
Data of the Educational Management Instance Educational Institution or Educational Program Data Academic Period Start End
Decentralized (UGEL/Municipality)
Number and/or Name 80026 "HORACIO ZEVALLOS GÁMEZ" Curricular Areas and Workshops
Code 1 3 0 0 1 4 Modular Code 0 5 7 7 9 0 8 Areas Workshops
Resolution of
Name of Creation No.
1113-71
UGEL/
Municipal UGEL 01 - THE FUTURE Modality(1) EBR Degree(3) 1 Section(4)
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Management(2) P Turn5 M
A B C D E F G H I J K L M N O P
Cantidad de Estudiantes según sexo Total Percentage Curricular Areas and Workshops
Total H 1 M 0 1 (%) Areas Workshops
Approved H 0 M 0 0
Disapproved H 0 M 0 0
Pedagogical Recovery H 0 M 0 0
Withdrawn H 0 M 0 0
Transferred to another institution. H 0 M 0 0
Postponement of Evaluation H 0 M 0 0
Fallecidos H 0 M 0 0
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
NAME OF THE AREA TEACHER - WORKSHOP FIRM NAME OF THE AREA TEACHER - WORKSHOP SIGNATURE The Future
A I Place or city
B J
C K
D L
E M Nombre:
F N Deputy Director
Signature-post signature and seal
GMargarita ALFARO CARRANZA O
H
L
Ministry of Education
OFFICIAL VALUE
request to the UGEL
Geographic Location
Dept. FREEDOM
Prov. TRUJILLO
Dist. THE FUTURE
Populated Center
Final
Recovery
Postponement
Location(9)
Est. Independ10
Another(11)
Observations(12)
CORRECTION EVALUATION
Table 1
Occupational Specialty - Module
Observations(12)
15 of September of 2016
day months year
Nombre:
Director
Signature - company stamp and seal
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summary table