FEDERAÇÃO PARAIBANA DE HANDEBOL

Filiada à Confederação Brasileira de Handebol

Fundada em 17 de Agosto de 1977
CNPJ: 08.606.709/0001-47

FICHA DE INSCRIÇÃO DE ATLETA Inscr. Nº ________________

Nome: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Apelido: _________________________________________________________________________________________________________________________________________________________________________________________

Nacionalidade: _______________________________________________________________________________________________
Natural de: _____________________________________________________________________________________________________________________________________
Data de Nascimento: _________________________________________________________________________________________________________________________

Filiação: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Residência: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Telefone: _______________________________________________________________________________________________________________________________
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Cidade: _____________________________________________________________________________________________________________________________________________________________________________________________________
UF: ______________________________________________________________________
e-mail: ___________________________________________________________________________________________________________________________________________________________________________________________________________

Cart. De Identidade: _______________________________________________________________________________________________________________________________________________________________

CPF: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Data da solicitação da Inscrição: ____________________________________________________________________________

Assinatura do Atleta:  ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ANO DATA CLUBE FEDERAÇÃO Condições

2022

O atleta signatário declara, sob as penas da lei, que todas as informações e dados aqui consignados expressam a verdade.

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Assinatura do Pai, Mãe ou responsável legal (para atletas menores de 18 anos)