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CONTRATO PARA INTERMEDIAÇÃO DE SERVIÇOS E EMPRÉSTIMO CONSIGNADO


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INFORMAÇÕES PESSOAIS

Nome *

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Filiação Pai *

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Filiação Mãe *

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Data de Nascimento *

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Nacionalidade *

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Naturalidade *

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Naturalidade UF *

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DOCUMENTOS

CPF *

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RG *

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Orgão Emissor *

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Data de Emissão *

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ENDEREÇO E CONTATOS

Endereço *

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Bairro *

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Cep *

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Estado *

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Cidade *

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Telefone *

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Celular *

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Telefone de parente ou amigo *

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Email *

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BENEFÍCIO

Nº Benefício *

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Nº Espécie do Benefício *

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INFORMAÇÕES SOBRE A FUNÇÃO

Função *

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Func. Público Matrícula Nº *

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Estado *

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Cidade *

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Federal SIAPE Mat Nº

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Força Armada Mat

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Senha do Contracheque *

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DADOS BANCÁRIOS

Nome do Banco *

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Agência *

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Conta *

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Tipo de Conta *

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Operação

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DADOS FINANCEIROS

Valor solicitado

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Plano





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Valor da Prestação

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Nome do Corretor

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Nome do banco ou financeira

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Cláusula Compromissória
As partes renunciam ao Judiciário e elegem para dirimir eventuais litígios desse contrato de forma definitiva a Arbitragem Art. 4º (Lei Federal 9.307/96), A Câmara de Mediação Conciliação e Arbitragem da Pronucon do Brasil para solucionar eventuais conflitos que possa surgir no futuro em detrimento a qualquer outro foro por mais privilegiado ou especial que seja.


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