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[]
[]
[]
[]
["SOLICITUD DE LICENCIA"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Salta,",null,"                     de 2019"]
[]
["Datos del Agente"]
["Apellidos y Nombres"]
["Documento/C.U.I.L.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fecha Nacimiento"]
["Domicilio",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Teléfono"]
[]
["Funciones en las que solicita Licencia"]
["Cargo",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Modalidad Designación"]
["Escalafón",null,null,null,null,null,null,null,"Agrupamiento",null,null,null,null,null,"Prof.",null,null,"Téc.",null,null,"Adm.",null,null,"S.G.",null,null,"SubGrupo"]
["Antigüedad Acreditada",null,null,null,null,null,null,null,null,null,"Años al"]
["Licencia que solicita"]
["Desde",null,null,null,null,null,null,null,null,null,"Hasta",null,null,null,null,null,null,null,null,null,"Días",null,null,null,"Remanente"]
["Tipo de Licencia",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Año"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Firma:"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Aclaración:"]
[]
[]
[]
["Intervención de Recursos humanos"]
["Encuadre Legal de la Licencia"]
["Inst. Legal",null,null,null,null,null,"Artículo:",null,null,null,null,null,"Decreto",null,null,null,"4118/97",null,null,null,"Otro:"]
["Desde",null,null,null,null,null,null,null,null,"Hasta",null,null,null,null,null,null,null,null,"C/Goce Haberes",null,null,null,null,null,null,"S/Goce Haberes"]
["Días que Corresponde",null,null,null,null,null,null,null,null,null,null,"Días Solicitados",null,null,null,null,null,null,null,null,null,null,"Remanente"]
[]
["Importante: La LICENCIA ANUAL REGLAMENTARIA no podrá ser fraccionada, salvo que mediaren estrictas necesidades de servicios debidamente acreditadas (Art. 9º – Dcto. 4118/97)"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Firma y Sello del DIRECTOR"]
[]
["Autorización del Responsable del Área"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Firma y Sello del Responsable del Área"]