PRÊMIO POR RECONHECIMENTO DE TRAJETÓRIA CULTURAL PF - ALDIR BLANC 2021
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Formulário de inscrição de proponentes Pessoa Física
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Nome completo do proponente
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Nome completo do proponente
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CPF do proponente
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CPF do proponente
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Telefone (celular e/ou fixo) do proponente
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Módulo de Premiação pretendido
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Módulo de Premiação pretendido
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INDIVIDUAL
DUPLA
COLETIVO
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Comprovante de residência de pelo menos 2 anos atrás, datado de outubro de 2019 ou antes
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Comprovante de residência de pelo menos 2 anos atrás, datado de outubro de 2019 ou antes
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Cópia do RG e CPF
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Cópia do RG e CPF
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Comprovante de residência atual, datado de julho de 2021
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Comprovante de residência atual, datado de julho de 2021
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Dados bancários
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Dados bancários
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Cópia legível do cartão bancário, folha de cheque, ou documento similar, onde consta o número completo da conta e agência onde será depositado o recurso. Pode ser também a cópia/print da tela do aplicativo do banco onde constam os dados da conta.
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Cópia da Certidão de Débitos Relativos aos Tributos Municipais e à Dívida Ativa Tributária do Município
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Cópia da Certidão de Débitos Relativos aos Tributos Municipais e à Dívida Ativa Tributária do Município
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O proponente que não conseguir a certidão a tempo de digitalizar e anexar neste campo do formulário, deve estar ciente que, caso seu projeto seja selecionado, deverá obrigatoriamente apresentá-la no ato da assinatura do Termo de Cooperação. Os proponentes que não apresentarem a certidão estarão sujeitos à desclassificação.
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Currículo ou portfólio comprovando atuação na área cultural no município de Espírito Santo do Pinhal há, pelo menos, 2 (dois) anos;
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Currículo ou portfólio comprovando atuação na área cultural no município de Espírito Santo do Pinhal há, pelo menos, 2 (dois) anos;
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Registro de materiais como: depoimentos, entrevistas, vídeos, matérias, cartazes, folders, fotografias ou material audiovisual, se houver - LINKS
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Registro de materiais como: depoimentos, entrevistas, vídeos, matérias, cartazes, folders, fotografias ou material audiovisual, se houver - LINKS
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Registro de materiais como: depoimentos, entrevistas, vídeos, matérias, cartazes, folders, fotografias ou material audiovisual, se houver - ARQUIVOS
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Registro de materiais como: depoimentos, entrevistas, vídeos, matérias, cartazes, folders, fotografias ou material audiovisual, se houver - ARQUIVOS
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Declaração de Ciência
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Declaração de Ciência
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Declaro que li por completo o EDITAL Nº 002/2021 PRÊMIO POR RECONHECIMENTO DE TRAJETÓRIA CULTURAL ALDIR BLANC 2021, e que estou de acordo com todas as cláusulas que o regem e que todas as informações e documentos por mim enviados são verdadeiros.
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Nome completo do proponente
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CPF do proponente
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Telefone (celular e/ou fixo) do proponente
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Módulo de Premiação pretendido
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Comprovante de residência de pelo menos 2 anos atrás, datado de outubro de 2019 ou antes
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Cópia do RG e CPF
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Comprovante de residência atual, datado de julho de 2021
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Dados bancários
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Cópia da Certidão de Débitos Relativos aos Tributos Municipais e à Dívida Ativa Tributária do Município
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Currículo ou portfólio comprovando atuação na área cultural no município de Espírito Santo do Pinhal há, pelo menos, 2 (dois) anos;
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Registro de materiais como: depoimentos, entrevistas, vídeos, matérias, cartazes, folders, fotografias ou material audiovisual, se houver - LINKS
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Registro de materiais como: depoimentos, entrevistas, vídeos, matérias, cartazes, folders, fotografias ou material audiovisual, se houver - ARQUIVOS
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Declaração de Ciência
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