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UEB - Unio dos Escoteiros do BrasilSIGUE - Sistema de Informaes e Gerenciamento de Unidades Escoteiras

Ficha de registro individual12/TO - PARALELO 10

ome completo:

lube de servico:

eligio:

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

SSOCIADO BENEFICIRIO

ome completo do responsvel:

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

ESPONSVEL LEGAL E ASSOCIADO CONTRIBUINTE

arentesco: |___| Pai |___| Me |___| Tutor

|___|___|

CPF:

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

CEP:

omplemento:

________/_________/____________

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Masculino

|___|___|___|___|___|___|___|___|___|

rofisso:

Tel. Comercial:

N:

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Bairro:

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

exo:

|___|___|___|___|___|___|___|___|___|___|___|

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

__|___|___|___|___|___|___|___|___|___|___|___|___|___|

__|___|___|___|___|___|___|___|___|___|___|

UF:

|___|___|___|___|___|___|___|___|___|___|___|___|___|

UF:

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

ata de nascimento:

idade:

-mail (importante):

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|

rgo expedidor:

Feminino

ocal de trabalho:

Tel. Celular:

|___|___|___|___|___|

el. Residencial:

G:

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

ndereo:

Escolaridade:

Natural de:

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

|___|___|

CPF:

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

CEP:

omplemento:

________/_________/____________

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Masculino

|___|___|___|___|___|___|___|___|___|

rofisso:

Tel. Comercial:

N:

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Bairro:

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

exo:

|___|___|___|___|___|___|___|___|___|___|___|

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

__|___|___|___|___|___|___|___|___|___|___|___|___|___|

__|___|___|___|___|___|___|___|___|___|___|

UF:

|___|___|___|___|___|___|___|___|___|___|___|___|___|

UF:

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

ata de nascimento:

idade:

-mail (importante):

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|

rgo expedidor:

Feminino

ocal de trabalho:

Tel. Celular:

|___|___|___|___|___|

el. Residencial:

G:

__|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

ndereo:

Escolaridade:

Natural de:

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__________ ____/____/_____Associado Beneficirio Associado Contribuinte/Escotista/Dirigente/Colaborador

utorizo a Unio dos Escoteiros do Brasil (UEB) EM TODOS OS SEUS NVEIS, sociedade civil sem fins lucrativos, declarada de Utilidade Pblica Federal,scrita no CNPJ/MF sob o n 33.788.431/0001-13, com sede na Rua Coronel Dulcdio, bairro gua Verde, Curitiba - PR, CEP 80.250-100, a utilizar-se das

magens e voz minha, ou daquele que represento ou assisto, para a edio de filmes e fotos, outorgando-lhe todos os direitos de imagem relacionados, paraualquer tipo de divulgao, publicidade e veiculao em todos e quaisquer meio de comunicao, a exclusivo critrio da Unio dos Escoteiros do Brasil, queoder, ainda, reproduzir, editar, introduzir no mercado, armazenar, distribuir, executar, transmitir, criar trabalhos derivados e baseados nas imagens eformaes disponibilizadas, para finalidade editorial, comercial, promocional, educacional, institucional, publicitria e todas as outras formas que venham a serassveis de utilizao.s associados beneficirios e contribuintes declaram que conhecem e concordam em cumprir a regulamentao interna da Unio dos Escoteiros do Brasil.eclaro que as informaes acima foram por mim prestadas e so de minha inteira e total responsabilidade, especialmente o contedo e especificaesescritos na ficha mdica.

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