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I.E.S. CIUDAD ESCOLAR Código Centro: 28022724 Ctra. Colmenar Viejo, Km. 12, 800 - 28049 Madrid T: 91 734 12 44 / F: 91 735 25 41 [email protected] http://ies.ciudadescolar.madrid.educa.madrid.org Página 1 de 1 DIRECCIÓN Fecha: / / JUSTIFICACIÓN DE FALTAS DE ASISTENCIA POR CIRCUNSTANCIAS EXTRAORDINARIAS DATOS ALUMNO/A Apellidos: Nombre: Ciclo Formativo: Curso: EXPONE SOLICITA DOCUMENTACIÓN APORTADA (Obligatorio) Motivos laborales: Fotocopia del contrato de trabajo (obligatorio) Certificado del horario laboral que se realiza (obligatorio) Otros motivos: Documento/s (indicar): VALORACIÓN DEL EQUIPO EDUCATIVO (a cumplimentar por el Tutor/a) Madrid, de de VºBº Director (Firma) (Firma) Tutor/a: (Firma) Alumno/a:

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Page 1: Justify Your Attendance

I.E.S. CIUDAD ESCOLAR Código Centro: 28022724 Ctra. Colmenar Viejo, Km. 12, 800 - 28049 Madrid T: 91 734 12 44 / F: 91 735 25 41 [email protected] http://ies.ciudadescolar.madrid.educa.madrid.org

Página 1 de 1

DIRECCIÓN

Fecha: / /

JUSTIFICACIÓN DE FALTAS DE ASISTENCIA POR CIRCUNSTANCIAS EXTRAORDINARIAS DATOS ALUMNO/A

Apellidos: Nombre:

Ciclo Formativo: Curso: EXPONE SOLICITA DOCUMENTACIÓN APORTADA (Obligatorio)

Motivos laborales:

Fotocopia del contrato de trabajo (obligatorio)

Certificado del horario laboral que se realiza (obligatorio)

Otros motivos:

Documento/s (indicar): VALORACIÓN DEL EQUIPO EDUCATIVO (a cumplimentar por el Tutor/a) Madrid, de de

VºBº Director

(Firma)

(Firma)

Tutor/a:

(Firma)

Alumno/a:

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