Uba, universidade

PEDIDO de CAMBIO de DIRECTOR

Art. 11º Inc. d) del Reglamento de Becas de Investigación Res. (CS) nº 1548/1998

FECHA _._._._ / _._._._ / _._._._

BECARIO/A: _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._

UNIDAD ACADEMICA: _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._

Nº RESOLUCION(ES) DE OTORGAMIENTO Y/O RENOVACIÓN DE LA BECA: _._._._._._._._._

TIPO DE BECA (Marque la Valida): DOCTORADO / MAESTRIA / ESTIMULO

PERÍODO DE LA BECA (según resoluciones):

COMIENZA : _._._._ / _._._._ / _._._._ FINALIZA: _._._._ / _._._._ / _._._._

DIRECTOR ORIGINAL: _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._

DATOS DEL DIRECTOR REEMPLAZANTE:

APELLIDO: _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._

NOMBRE: _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._

Nº DNI: _._._._._._._._._._._._._. FECHA NACIMIENTO: _._._._ / _._._._ / _._._._

TÍTULO ACADEMICO MAXIMO: _._._._._._._._._._._._._._._._._._._._._._._._._._._

CARGO DOCENTE (Máximo según resolución)

LEGAJO Nº: _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._

CARGO CATEGORÍA (Marque la valida): EME/CON/ TIT /ADJ / ASO / JTP/AY1/AY2

CARGO DEDICACION (Marque la valida): EXCLUSIVA / SEMI EXCLUSIVA / PARCIAL

CARGO TIPO (Marque la valida): REGULAR / INTERINO

CARGO RENTA (Marque la valida): RENTADO / AD-HONOREM

NUMERO DE BECARIOS ACTUALMENTE A SU CARGO DE ESTA UNIVERSIDAD: _._._._._

NUMERO DE BECARIOS ACTUALMENTE A SU CARGO DE OTRAS INSTITUCIONES: ._._ ._

CODIGO DE PROYECTO UBACYT AL QUE PERTENECE: ._._._._._._._._._._._._._._._._._

FUNCIÓN DENTRO DEL PROYECTO:

LUGAR DE TRABAJO:

DEPARTAMENTO – CATEDRA – LABORATORIO: ._._._._._._._._._._._._._._._._._._._

_._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._

TELEFONO (lugar de trabajo):