This document is a school warning notice from a school in Vilhena, Rondônia, Brazil. It notifies a student that they are being warned according to the school's regulations. The notice leaves blanks to fill in the student's name, grade, class, shift, reasons for warning, and witness signatures. It is dated and includes signatures from the student, parent, and school administration.

1. GOVERNO DO ESTADO DE RONDÔNIA
SECRETARIA DE ESTADO DA EDUCAÇÃO
EEEFM “MACHADO DE ASSIS”
CE – CONSELHO ESCOLAR
Avenida Tiradentes, nº 265, Setor Industrial
Vilhena – Rondônia – CEP: 76.980-000 (69) 3322-9022
E-mail: escolamachadovilhena@hotmail.com
TERMO DE ADVERTÊNCIA ESCOLAR
Aluno(a): _____________________________________________________________________
Série: ________________ Turma: __________ Turno: _______________________________
Fica o(a) aluno(a) citado acima ADVERTIDO a partir desta data conforme Regimento Escolar
desta Instituição Educacional (Art. 153) e este documento deve ser anexado à pasta do mesmo.
MOTIVO(S):
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Vilhena - RO, _______ de ____________________ de 2012.
Testemunhas:
1 - ___________________________________________________________________________
2 - ___________________________________________________________________________
___________________________________ ___________________________________
Assinatura do Aluno Assinatura do Pai Responsável
__________________________________________
DIREÇÃO ESCOLAR
“A CADA DESAFIO CORRESPONDE UMA RESPOSTA: A NOSSA É EDUCAR”.