Ficha 1A 

APLICAÇÃO DA MEDIDA DISCIPLINAR CORRETIVA

“ORDEM DE SAÍDA DO ESPAÇO DE AULA”

A - REGISTO SUMÁRIO DA OCORRÊNCIA

Professor: __________________________________________ Disciplina: ___________________________
Local / Sala: ______________________ Hora: ________ Data: ____ / ____ / 201__
Ano / Turma: _________ Diretor de Turma: _______________________________________

Nome do Aluno: _________________________________________________________ Nº: ______

Nome do Aluno: _________________________________________________________ Nº: ______
Nome do Aluno: _________________________________________________________ Nº: ______
Nome do Aluno: _________________________________________________________ Nº: ______
Nome do Aluno: _________________________________________________________ Nº: ______

B – DESCRIÇÃO DA OCORRÊNCIA
(Entregar no GIPAE após o término da aula e durante o dia da ocorrência)
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Recebido no GIPAE O Professor da disciplina: ____________________________________

____ / ____ / 201__ ás _______ h O Professor do GIPAE: _______________________________________