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{| style="margin:1em auto 1em auto; background-color:#FFFFF0" width="792pt; padding:15px; border:solid"
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| valign="bottom"| Centro educativo:
| style="border-style: solid; border-width: 0 0 1px 0; height:20pt"|
| valign="bottom"| Jornada:
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| valign="bottom"| Etapa:
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| valign="bottom"| Docente:
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| valign="bottom"| Período de:
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| valign="bottom"| a:
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| valign="bottom"| Departamento:
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| valign="bottom"| Municipio:
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| valign="bottom"| Aldea:
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| colspan="8"|
{| class="wikitable" style="margins:1em auto 1em auto 1em" width="100%"
! rowspan="3"| No.
! rowspan="3"| Nombre de los/las estudiantes
! colspan="6"| Autoestima
! colspan="9"| Logros básicos
! colspan="12"| Habilidades básicas
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! colspan="3"| Cree en sí mismo/a
! colspan="3"| Se supera en lo que hace
! colspan="3"| Realiza las actividades propuestas
! colspan="3"| Aplica los contenidos escolares
! colspan="3"| Lee con comprensión y placer
! colspan="3"| Se expresa con claridad y seguridad
! colspan="3"| Planifica, ejecuta y evalúa el propio desempeño
! colspan="3"| Planifica adecuadamente en grupo de estudio
! colspan="3"| Se organiza y asume el estudio con seriedad y alegría
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! L
! EP
! DM
! L
! EP
! DM
! L
! EP
! DM
! L
! EP
! DM
! L
! EP
! DM
! L
! EP
! DM
! L
! EP
! DM
! L
! EP
! DM
! L
! EP
! DM
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| '''L:''' logrado; '''EP:''' en proceso; '''DM:''' debe mejorar
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[[Category:Primaria]] [[Category:Acelerada]] [[Category:Herramientas]]