Ficha do Associado da ACTEBA
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Ficha do Associado da ACTEBA

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Ficha do Associado da ACTEBA Ficha do Associado da ACTEBA Document Transcript

  • ACTEBA – Associação de Conselheiros Tutelares e Ex-Conselheiros do Estado da Bahia. E-mail: acteba@yahoo.com.br CNPJ: 11.045.370/0001-61 FICHA DE INSCRIÇÃO DO ASSOCIADO Município:_____________________________ Território: ___________________ Nome: __________________________________________________________ RG:______________________________CPF:___________________________ Data de nascimento: ______/_____/_____ Profissão: _____________________ Escolaridade:______________________curso:__________________________ End. residencial: __________________________________________________ ________________________________________________________________ Tel.: _______________________ cel.:_______________________________ e-mail: __________________________________________________________ Filiação: _________________________________________________________ ________________________________________________________________ Conselheiro (a) Tutelar: ( ) titular ( ) suplente ( ) ex-conselheiro Mandato: ___________/________/________ a ________/________/________ __________________________, ____ de ___________de 20___ _____________________________ Assinatura ___________________________________ Antonia Luzia Silva Santos – Presidente ___________________________________ Edvaldo Roque dos Santos – Secretário Taxa mensal é de 1% do salário mínimo, sendo paga semestral ou anual, conforme Estatuto Social. Sede provisória: ACTEBA - Rua da Ilha, s/n, KM 17, Itapuã, Salvador-Ba CEP: 41.620-620 1