REPUBLICA BOLIVARINA DE VENEZUELA
MINISTERIO DEL PODER POPULAR PARA LA DEFENSA
FUERZA ARMANDA NACIONAL BOLIVARIANA
GUARDIA NACIONAL BOLIVARIANA
COMANDO NACIONAL GUARDIA DEL PUEBLO
REGIMIENTO ANZOATEGUI
COMANDO
HOJA DE ENTREVISTA
LUGAR ___________________________FECHA _________________
JQUIA _________ APELLIDOS Y NOMBRES_________________________________________________
C.I. ________________EDO CIVIL____________________ DIRECCIÓN DE HABITACIÓN: ___________
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TELÉFONOS_____________________ TIEMPO EN LA UNIDAD__________________________________
MOTIVO DE LA ENTREVISTA: ____________________________________________________________
EXPOSICION__________________________________________________________________________ _
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FIRMA: __________________________
OPINIÓN DEL TTE COMANDANTE DE COMPAÑÍA:
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FIRMA: __________________________
OPINIÓN DEL MAYOR COMANDANTE DE DESTACAMENTO:
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FIRMA: _________________________
DECISIÓN DEL CNEL COMANDANTE DEL REGIMIENTO:
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FIRMA: _________________________
