SOLICITUD DE ADMISIÓN A PROCESO SELECTIVO DE PERSONAL Proceso selectivo: TECNICO DE INSERCIÓN LABORAL PRIS Servicio o programa: Programa Regional de Integración Social 2016
DATOS PERSONALES DEL ASPIRANTE Nombre:
Apellidos:
D.N.I. núm.
Fecha de Nacimiento:
Domiciliado en C/ Código Postal
Teléfono móvil: nº
Localidad
piso
letra
Provincia
DATOS ACADÉMICOS DEL ASPIRANTE Titulación:__________________________________________________________________________________________ Fecha de expedición del Título:
Centro de expedición:
DOCUMENTOS Y JUSTIFICANTES DE LOS MÉRITOS QUE ALEGA POSEER EL ASPIRANTE, MÉRITOS (Fotocopias compulsadas): EXPERIENCIA (Continuará en reverso, firmada la relación de méritos por el aspirante) ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ OTRAS TITULACIONES (Continuará en reverso, firmada la relación de méritos por el aspirante) ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ CURSOS (Continuará en reverso, firmada la relación de méritos por el aspirante) ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________
El aspirante desea tomar parte en el proceso selectivo referenciado y declara ser ciertos todos los datos consignados en la presente instancia, reuniendo todas las condiciones exigidas por las Bases de la convocatoria. En Tembleque, a _______de ____________________ de 2016. Firma,
SR. ALCALDE - PRESIDENTE DEL AYUNTAMIENTO DE TEMBLEQUE (TOLEDO).
Ayuntamiento de Tembleque Plza. Mayor, 1. 45780 Toledo. Tfno. 925 145 261. Fax: 925 145 585
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Mร RITOS (Fotocopias compulsadas): Viene de la pรกgina anterior en el apartado que corresponda EXPERIENCIA ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ OTRAS TITULACIONES ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ CURSOS ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ ___________________________________________________________________________________________________ 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Firmado reverso en su caso.
Ayuntamiento de Tembleque Plza. Mayor, 1. 45780 Toledo. Tfno. 925 145 261. Fax: 925 145 585
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