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DATA: ____________________________________ OCORRÊNCIA NÚMERO:__________

ALUNO(A):______________________________________________________________________________________

TURMA: ________________________________________________________________________________________

O QUE ACONTECEU?
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SOLUÇÃO:
_______________________________________________________________________________________________
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O RESPONSÁVEL FOI NOTIFICADO? __________________________________________________________________

ASSINATURA DA PROFESSORA: _____________________________________________________________________

ASSINATURA DA DIREÇÃO: _________________________________________________________________________

ASSINATURA DO RESPONSÁVEL: ____________________________________________________________________

DATA: ____________________________________ OCORRÊNCIA NÚMERO:__________

ALUNO(A):______________________________________________________________________________________

TURMA: ________________________________________________________________________________________

O QUE ACONTECEU?
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

SOLUÇÃO:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________

O RESPONSÁVEL FOI NOTIFICADO? __________________________________________________________________

ASSINATURA DA PROFESSORA: _____________________________________________________________________

ASSINATURA DA DIREÇÃO: _________________________________________________________________________

ASSINATURA DO RESPONSÁVEL: ____________________________________________________________________

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