ENTREVISTA – AÇÃO _________________________________

1 - CLIENTE

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Endereço: _________________________________________________________________________________

Bairro ______________________________________ Cidade/UF ____________________________________

Cédula de Identidade: ________________ CPF/MF ___________________Telefone: _______________ Data

e local/Nascimento _____________________________CTPS : __________________________________

Profissão: _____________________ Estado civil: __________________ Nacionalidade: _________________

2 – REQUERIDO

Nome: ____________________________________________________________________________________

Endereço: _________________________________________________________________________________

Bairro ______________________________________ Cidade/UF ____________________________________

Cédula de Identidade: ________________ CPF/MF ___________________Telefone: _______________

Profissão: _____________________ Estado civil: __________________ Nacionalidade: _________________

3 – NATUREZA DA AÇÃO / PROCEDIMENTOS ADOTADOS

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4 – MOTIVOS

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5 – DOCUMENTOS APRESENTADOS

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Outras informações: _________________________________________________________________________

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