COORDINACIÓN ESTATAL DEL PROGRAMA SEGURA
PROBLEMATICAS ATENDIDAS
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NOMBRE Y TELEFONO DEL AFECTADO___________________________________________________
DOMICILIO________________________________________________________________________
ESCUELA________________________________________ C.C.T._____________________________
PROBLEMÁTICA____________________________________________________________________________
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ACCIONES A
REALIZAR_________________________________________________________________________________
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COORDINADOR PES.
DIRECTOR (A) DE LA ESCUELA.
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PADRE DE FAMILIA.
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