PRE-REGISTRATION FORM
YEAR:
Document type TI __CC_ X_ No. 1003250267
Primer Nombre ___DANNA____ Segundo Nombre ___YECENY____
Primer Apellido ____JIMENEZ____ Segundo Apellido ___GUIJO ___
Grupo ÉtnicoSin Información __ Otra__ Cual_____________________________
Fecha de Nacimiento Año__1999___ My 02 Day 22
Ciudad de Nacimiento __AGUACHICA __ País de Origen ___COLOMBIA ____
Municipio de Residencia__ AGUACHICA __Departamento ___CESAR___
Dirección/Vereda _CRA. 10 # 11-25___Barrio__PALMIRA ___Estrato __1__
Tel Fijo _______________Móvil/Celular_____3232932985________
E-mail1_jiimenez22sofi@[Link] Emai2_dyjimenez76@[Link]
Estado Civil ___SOLTERA __ Número Registro ICFES AC_201522836401__
Discapacidad: Ninguna X__Otra____
Which
Center to which you will enroll ___UNAD ___
Program ____________PSYCHOLOGY _________________
School ______________________________
Single Father or Mother YES__ NO_X_ Payment Agreement Enrollment? YES__ NO__
Are the resources you plan to use for studying your own? YES_X_ NO___
How did you find out about UNAD?
ECBTI - School of Basic Sciences, Technology and Engineering
ECACEN-School of Accounting, Economic and Business Administrative Sciences-
ECSAH - School of Social Sciences, Arts, and Humanities -
ECEDU - School of Education Sciences -
ECAPMA–School of Agricultural, Livestock and Environmental Sciences–
ECISALUD - School of Health Sciences -
ECJP - School of Legal and Political Sciences