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организация «Нижегородский областной туристский клуб» (ОО «НОТК»)

Специализированное структурное образовательное подразделение (ССОП)

 

РЕГИСТРАЦИОННАЯ КАРТА СЛУШАТЕЛЯ

программы дополнительного профессионального образования (ДПО)

(обучение бесплатное)

(заполняется собственноручно слушателем, проверяется и заверяется работником ССОП ОО «НОТК»)

Вид обучения

профессиональная переподготовка/повышение квалификации

Специальность

-

Название программы ДПО

«Организатор спортивного и детско-юношеского туризма», мультивидовая

Период обучения

13.02.2021 – 30.09.2021

Продолжительность обучения

120 час

Форма обучения

Очно-заочная

Ф.И.О. слушателя

 

Дата рождения

 

Место рождения

 

Паспорт(серия, №, кем когда выдан, код подразделения)

 

Гражданство

 

СНИЛС(серия,№)

 

Адрес по прописке

(с указанием индекса)

 

 

                                                                                                                                                                                                                                                                                                                                                                                                                                                            

Адрес фактического места жительства

(с указанием индекса)

 

Телефон (моб./дом/раб)

 

Адрес электрон.почты

НЕОБХОДИМ АДРЕС

НА  Google ПОЧТЕ (gmail)

 

                                                                                                                                                                                                                                                                                                                                                                             

Образование по диплому:

Наименование образовательного учреждения (ОУ) , выдавшего диплом

 

Диплом (серия,№)

 

Дата окончания ОУ

 

 

Специальность по диплому/квалификация

 

ФИО по диплому

 

Наименование, серия, № документа о смене фамилии

 

 

Сведения о профессиональной деятельности

Место работы

 

Должность

 

Дата заполнения: «12» февраля  2021 г.

 

Подпись слушателя ˅___________________________

Сведения проверил __________________________________________________________________________ (должность, подпись, фамилия работника ССОП ОО «НОТК»)



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