FICHA FUNCIONAL

NOME:_______________________________________________________________________
COLGIO:_____________________________________________________________________
LOCAL:_______________________________________________________________________
ADMISSO:____________________________________________________________________
PAI:__________________________________________________________________________
ME:_________________________________________________________________________
CONJUGE:_____________________________________________________________________
DEPENDENTES:_________________________________________________________________
ENDEREO:____________________________________________________________________
BAIRRO:__________________________________CEP:_________________________________
MUNICPIO:_______________________________TELEFONE:___________________________
E-MAIL:_______________________________________________________________________

DATA DE NASCIMENTO:___________________ IDENTIDADE:__________________________

TITULO DE ELEITOR:_______________________ZONA:_______SEO:___________________
NACIONALIDADE__________

NATURALIDADE:____________________________________

ESTADO CIVIL:__________________________CART. TRAB.:_____________________________

SRIE:_________________________________CPF:___________________________________
PIS/PASEP:_____________________________

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(Nome do Municpio)___________________

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ASSINATURA