EQUIPE DEO JIU-JITSU

ADMINISTRACAO DE ATLETAS VINCULADOS
FICHA CADASTRAL 2012

I – DADOS PESSOAIS

NOME COMPLETO:

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CODNOME:

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RG:

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ÓRGÃO EXPEDIDOR:

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NATURALIDADE:

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U.F.:

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ENDEREÇO:

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BAIRRO:

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CIDADE:

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U.F. (Endereço):

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CPF:

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SEXO:

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DATA DE NASCIMENTO:

DD/MM/AAAA

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GRUPO SANGÜÍNEO:

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DEFICIÊNCIA FÍSICA:

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PESO (Com Kimono):

Kg

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NOME DO PAI:

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NOME DA MÃE:

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E-MAIL:

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TELEFONE FIXO:

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TELEFONE CELULAR:

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II – UNIDADE DE TREINAMENTO

UNIDADE DE TREINAMENTO:

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PROFESSOR RESPONSÁVEL:

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III – DADOS DE GRADUAÇÃO

Faixa:

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DATA DE GRADUAÇÃO NA FAIXA PRETA (DD/MM/AAAA) :

Caso se Aplique

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DATA DE GRADUAÇÃO NA FAIXA MARROM(DD/MM/AAAA) :

Caso se Aplique

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DATA DE GRADUAÇÃO NA FAIXA ROXA(DD/MM/AAAA) :

Caso se Aplique

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DATA DE GRADUAÇÃO NA FAIXA AZUL(DD/MM/AAAA) :

Caso se Aplique

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DATA DE INÍCIO DO JIU-JITSU (DD/MM/AAAA) :

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