HOJA DE RESPUESTAS PMA

APELLIDOS Y NOMBRE: ___________________________________________________________________________________________

EDAD: _____________________________ TELÉFONO: __________________________ CELULAR: ___________________________
PUESTO ACTUAL: PUESTO AL QUE APLICA: ____________________________________

_________________________________________
ULTIMO GRADO ACADÉMICO: _______________________________________________________________________________________
CÓDIGO DE EMPLEADO: ____________________________________ FECHA DE INGRESO:

_______________________________________
UNIDAD DE TRABAJO: FECHA: _______________________________________________

______________________________________
ZONA DE RESIDENCIA (DIRECCIÓN DE CASA):

_____________________________________________________________________________

FACTOR V FACTOR E FACTOR R FACTOR N

1 A B C D 26 A B C D 1 A B C D E F 1 a b c f g h 1 B M 36 B M
2 A B C D 27 A B C D 2 A B C D E F 2 d e f x y z 2 B M 37 B M
3 A B C D 28 A B C D 3 A B C D E F 3 g h i j k l 3 B M 38 B M
4 A B C D 29 A B C D 4 A B C D E F 4 j k l x y z 4 B M 39 B M
5 A B C D 30 A B C D 5 A B C D E F 5 a b c f g h 5 B M 40 B M
6 A B C D 31 A B C D 6 A B C D E F 6 x b c d e y 6 B M 41 B M
7 A B C D 32 A B C D 7 A B C D E F 7 c d m n ñ o 7 B M 42 B M
8 A B C D 33 A B C D 8 A B C D E F 8 a b c d e f 8 B M 43 B M
9 A B C D 34 A B C D 9 A B C D E F 9 h i j k l m 9 B M 44 B M
10 A B C D 35 A B C D 10 A B C D E F 1 h i j k l m 10 B M 45 B M
0
11 A B C D 36 A B C D 11 A B C D E F 1 c d i j k l 11 B M 46 B M
1
12 A B C D 37 A B C D 12 A B C D E F 1 d e f g h i 12 B M 47 B M
2
13 A B C D 38 A B C D 13 A B C D E F 1 a b c d e f 13 B M 48 B M
3
14 A B C D 39 A B C D 14 A B C D E F 1 j k l m n ñ 14 B M 49 B M
4
15 A B C D 40 A B C D 15 A B C D E F 1 g h i j k l 15 B M 50 B M
5
16 A B C D 41 A B C D 16 A B C D E F 1 i j k ñ o p 16 B M 51 B M
6
17 A B C D 42 A B C D 17 A B C D E F 1 g h i j k l 17 B M 52 B M
7
18 A B C D 43 A B C D 18 A B C D E F 1 a b c g h i 18 B M 53 B M
8
19 A B C D 44 A B C D 19 A B C D E F 1 j k l m n ñ 19 B M 54 B M
9
20 A B C D 45 A B C D 20 A B C D E F 2 a b c x y z 20 B M 55 B M
0
21 A B C D 46 A B C D 2 e f g h i j 21 B M 56 B M
1
22 A B C D 47 A B C D 2 s t u v w x 22 B M 57 B M
2
23 A B C D 48 A B C D 2 i j k l m n 23 B M 58 B M
3
24 A B C D 49 A B C D 2 f g h x y z 24 B M 59 B M
4
25 A B C D 50 A B C D 2 h i j k l m 25 B M 60 B M
5
2 e f g h i j 26 B M 61 B M
6
2 p q r s t u 27 B M 62 B M
7
2 u v w x y z 28 B M 63 B M
8
2 h i j k l m 29 B M 64 B M
9
3 f g h i j k 30 B M 65 B M
0
31 B M 66 B M
32 B M 67 B M
33 B M 68 B M
34 B M 69 B M
35 B M 70 B M
 FACTOR F

1. Silla 4. ___________________________ 7. ___________________________

2. ___________________________ 5. ___________________________ 8. ___________________________
3. ___________________________ 6. ___________________________ 9. ___________________________

1. ____________________________________ 26. ___________________________________ 51. ___________________________________

2. ____________________________________ 27. ___________________________________ 52. ___________________________________
3. ____________________________________ 28. ___________________________________ 53. ___________________________________
4. ____________________________________ 29. ___________________________________ 54. ___________________________________
5. ____________________________________ 30. ___________________________________ 55. ___________________________________
6. ____________________________________ 31. ___________________________________ 56. ___________________________________
7. ____________________________________ 32. ___________________________________ 57. ___________________________________
8. ____________________________________ 33. ___________________________________ 58. ___________________________________
9. ____________________________________ 34. ___________________________________ 59. ___________________________________
10. ___________________________________ 35. ___________________________________ 60. ___________________________________
11. ___________________________________ 36. ___________________________________ 61. ___________________________________
12. ___________________________________ 37. ___________________________________ 62. ___________________________________
13. ___________________________________ 38. ___________________________________ 63. ___________________________________
14. ___________________________________ 39. ___________________________________ 64. ___________________________________
15. ___________________________________ 40. ___________________________________ 65. ___________________________________
16. ___________________________________ 41. ___________________________________ 66. ___________________________________
17. ___________________________________ 42. ___________________________________ 67. ___________________________________
18. ___________________________________ 43. ___________________________________ 68. ___________________________________
19. ___________________________________ 44. ___________________________________ 69. ___________________________________
20. ___________________________________ 45. ___________________________________ 70. ___________________________________
21. ___________________________________ 46. ___________________________________ 71. ___________________________________
22. ___________________________________ 47. ___________________________________ 72. ___________________________________
23. ___________________________________ 48. ___________________________________ 73. ___________________________________
24. ___________________________________ 49. ___________________________________ 74. ___________________________________
25. ___________________________________ 50. ___________________________________ 75. ___________________________________