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UNIVERSIDAD DE LOS LLANOS

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Oficina de Internacionalizacin y Relaciones Interinstitucionales - OIRI

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FICHA DE INSCRIPCIN DEMANDA UNILLANISTA
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Nombre

Fecha:______
Apellidos:

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Estudiante _____

Docente _____

Egresado ______

Administrativo _____
Programa/Dependencia:
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Si es estudiante

Cdigo: _________________________

Semestre:

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C.C. N: ___________________ de ______________ Edad: ______ aos

Celular: _________________

Tel. fijo: ___________________

Direccin:

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E-mail:

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Promedio Pregrado: _________
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Tercer Idioma: _________________
Nivel: ______ %
Proyeccin

Promedio Posgrado: _________

Segundo Idioma:

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Nivel: ________ %

Cuarto Idioma:

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Pertenece a Grupos de la Universidad

Social:

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Nombre:

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Investigacin:

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Nombre:

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Estudio:

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Nombre:

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FORTALEZAS (temas de proyectos en los que participa; lidera Ud. acciones acadmicas; su
produccin intelectual; para docentes y egresados indicar nombre de carrera de pregrado y de
posgrado; para egresados indicar en que ao termino, etc.):

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Universidad de los Llanos, Km. 12 Va Puerto Lpez, Vereda Barcelona (Antiguo Ideam). Villavicencio (Meta)
Colombia.
Internacionalizacin, Tele+578-6616800 Ext.159. FAX 6698945 E-Mail: oiriunillanos@gmail.com

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INTERS (asuntos externos de su inters; contactos externos; cursos, becas y posgrados en
el exterior; pases de su inters; etc.):
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Diseo: OIRI Feb-26-10