Valor $______________/

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UNIVERSIDAD LA REPUBLICA
DIRECCIÓN DE POSTGRADO Y POSTÍTULO Nº Solicitud________/
(Asignado por
Dirección de Postgrado)

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Solicito respetuosamente a la Dirección de Postgrado y Postítulo de la Universidad la República:
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Las razones que motivan esta petición son :
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Firma alumno________________________________________
Informe Cuentas Corrientes de Alumnos:
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Informe Académico - Administrativo: Año Ingreso ULARE:.................

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Informe Aula Virtual:

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Fecha Recepción..................................Fecha Despacho................................Firma.....................................
Sugerencia Dirección de Postgrado
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Resolución Vicerrectoría Académica
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Fecha Recepción..................................Fecha Despacho................................Firma.....................................

Comprobante Recepción de Solicitud Nº_______________/

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