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AGECEF - PI
Ficha de Cadastramento de Dados de Associado
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* Indicates required question
Matrícula
*
Your answer
Nome Completo
*
Your answer
Apelido
Your answer
CPF
*
Your answer
RG/Órgão Emissor
Your answer
Data de Emissão
MM
/
DD
/
YYYY
Data de nascimento
*
MM
/
DD
/
YYYY
CEP
*
Your answer
Logradouro
*
Your answer
Bairro
*
Your answer
Cidade/UF
*
Your answer
Conta Corrente - Agência. Op. Conta dv
*
Your answer
E-mail particular
Your answer
E-mail Caixa
Your answer
Número do celular
Your answer
Numero residencial
Your answer
Telefone caixa
Your answer
CGC. Unid. Vinc.
Your answer
Nome Unidade de vinculação
Your answer
Função
Your answer
Comentários
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