domiciio en. GAbE css
‘soicto mi partcipacion como postulante en el proceso de seieccién para la
‘Administraiva de Servicios del PROCESO CAS N"..... -20...MIDIS-PNCM para fo cual
deciaro que cumplo intogramente con los requisitos peri minime establecido en la
publicacién correspondiente al servicio convacado, adjuntando lo siguiente:
1. Docleraciones Juradas (Anexo N®03- A, B, Cy D)
2. Copia simple legible de mi Documento Nacional de Identidad (Vigente)
Fecha, /E.de..AUS20....de 20.1.9.
RMA DEL POSTULANTE
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