7/26/2019 Boleta de Admision de Personal(Tallanes)

1/6

UC: 20545037336HOJA DE INGRESO DE PERSONAL NUEVO

EMPLEADO OBRERO PRACTICANTE

APELLIDOS Y NOMBRES: ______________________________________

CARGO: _____________________________________

AREA DE TRABAJO: ___________________________________________

TRABAJADOR REEMPLAZADO: _____________________________________________________

FECHA DE CESE: _____/________/_________ FECHADE INGRESO_____/________/________

!" MEMOR#NDUM DE CONTRATACI$N:%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%!!%%%%%%%%%%%

2!" OFICINA DE TIEMPO & #REA ADMINISTRATI'A CONTRATA:

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%!!!%%

3!" SEGURIDAD ESPECIAL: %%%%%%%%%%%%%%%%%%%%%!%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%!!!%%

(!" BIENESTAR SOCIAL%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

4!"PSICOLOG)A: %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%!%%%%%%%%%%%%%%%%%%%%%%%%%%%%%!!

4!"DEPARTAMENTO MEDICO:%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%!!

5!" MEDIO AMBIENTE: %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%!%%%%%%%%%%%%%%%%%%%%%%%%%

6!" SEGURIDAD MINA%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%!!

7!" RELACIONES INDUSTRIALES%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%!!%!%%%%%%%!

REG 0 * RR!II! EST'ERSI$N

MOTIVO:

PUESTO NUE'O

REEMPLAZO

INCREMENTO

7/26/2019 Boleta de Admision de Personal(Tallanes)

2/6

UC: 20545037336(!" FOOD CARD: %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%!!%%%%%%%!!!

_________________',B,OF! DE TIEMPO

_______________________ ___________________

-. RESIDENTE DE LA CONTRATA',B,

Casapalca, _______________ de201

SOLICI!UD DE E"PLEO C#d$%& ! ' (e%$s)(& *AL!A+:%%%%%%!%%%%%%%!

RURO 1-. DA!OS PERSONALES Apell$d& pa)e(& Apell$d& "a)e(&N&(es

______________________________ ________________________ __________________________________ DNI ec3a Nac$$e)& L4%a( de Nac$$e)&Edad________________

___&____&________ ___________________________________________________________ ________

Nac$&al$dad Es)ad& C$5$l H$6&s !el78&& CasaCel4la(

____________________________ _______________________ _______ _________________ _________________________ !el78&& Al)e(& (de preferencia un familiar). !$p& dSa%(e ___________________ ______________

D$(ecc$# del D&$c$l$& Ac)4al D$s)($)& /P(&5$c$a / Depa()ae)&_________________________________________________________________

_____________________________________________________________

Re8e(ec$a de d&$c$l$& ac)4al (indicar farmacia, municipalidades, comisaria etc.)______________________________________________________________________________________________________________________________________________

ELAORE UN CRO9UIS DE SU DO"ICILIO

REG 02 * RR!II! EST 0+'ERSION

E/1.

O-.-

P-89.

7/26/2019 Boleta de Admision de Personal(Tallanes)

3/6

UC: 20545037336

Ac)4ale)e d&de 5$5& es:P-8: A1;81: O-8: E

7/26/2019 Boleta de Admision de Personal(Tallanes)

4/6

UC: 20545037336

E cas& de al%4a ee(%ec$a &s c&4$ca&s c&:N/-.< A.1189: !C.1;1-: ! !T8.9. UD! P-.9.RURO >-. REERENCIA DE !RAAJOS AN!ERIORESN&(e de c$a- D$(ecc$# Ca(%& !$ep& "&)$5& de

(e)$(&

RURO ?-. DECLARACION JURADAD.1- B J;-/.9:

! N .9.- 9...9.< .91.< & ;881.

A;-89 8998891/.9. ;1;8.- 8@9 . .-88@9

7/26/2019 Boleta de Admision de Personal(Tallanes)

5/6

UC: 20545037336

NO!A: .-

7/26/2019 Boleta de Admision de Personal(Tallanes)

6/6

UC: 20545037336SUPERVISOR EVALUADOR PREVIA A LA AILIACION:

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

OSERVCIONES:

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

%%%%%!

%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%

ECHA: ____/____/_______