GOVERNO DO ESTADO DE MINAS GERAIS

SECRETARIA DE ESTADO DE PLANEJAMENTO E GESTÃO – SEPLAG

SISAP – MG – SISTEMA DE ADMINISTRAÇÃO DE PESSOAL DO ESTADO
IMPLANTAÇÃO – ATUALIZAÇÃO DE DADOS PESSOAIS
INSTITUIÇÃO:

COMANDO:

MASP: |___|___|___|___|___|___|___|___| NOME: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

Nº
ADMISSÃO |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
|___|
PAI: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

MÃE: |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
DATA NASCIMENTO: SEXO: ESTADO CIVIL: GRAU INSTRUÇÃO:
MASCULINO
|___|___|___|___|___|___|___|___| |____| FEMININO |___|___|___| (VER TABELA SISAP) |___|___| (VER TABELA SISAP)
NATURALIDADE: UF:

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| |___|___|
COD. DEFICIÊNCIA:
GRUPO SANGUINEO: |___|___| FATOR RH (+/-) |____| (VER TABELA SISAP) |___|___|___|

ANO PRIMEIRO EMPREGO: |___|___|___|___| UF ÚLTIMO EMPREGO: |___|___|

NÚMERO DEPENDENTES IMPOSTO DE RENDA: |___|___| NÚMERO DEPENDENTES ABONO: |___|___|

INFORMAÇÕES PARA ESTRANGEIRO
PAÍS DE ORIGEM:
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

ANO CHEGANDA BRASIL: |___|___|___|___| DATA NATURALIZAÇÃO: |___|___|___|___|___|___|___|___|

DOCUMENTOS
CPF PIS / PASEP
|___|___|___|___|___|___|___|___|___|___|___| |___|___|___|___|___|___|___|___|___|___|___|
CI
|__|__| |__|__|__|__|__|__|__|__| ORGÃO: |__|__|__| UF: |___|___| EMISSÃO: |___|___|___|___|___|___|___|___|

TITULO ELEITOR
|___|___|___|___|___|___|___|___|___|___|___|___| ZONA: |___|___|___| SEÇÃO: |___|___|___|___| UF: |___|___|

CARTEIRA PROFISSIONAL ORGÃO: UF: EMISSÃO:

|___|___|___|___|___|___|___|___|___|___| |___|___|___|___|___| |___|___| |___|___|___|___|___|___|___|___|

CARTEIRA DE TRABALHO: |___|___|___|___|___|___|___| SÉRIE: |___|___|___|___|___| UF: |___|___|

CERTIFICADO MILITAR: CLASSE: CAT: EMISSÃO:

|___|___|___|___|___|___|___|___|___|___|___|___| |___|___|___|___| |___| |___|___|___|___|___|___|___|___|

CARTEIRA HABILITAÇÃO: |___|___|___|___|___|___|___|___|___|___|___| CATEGORIA: |___|___|___|___|

 DADOS BANCÁRIOS
BANCO AGÊNCIA CONTA

|___|___|___|___| |___|___|___|___|___|___| |___|___|___|___|___|___|___|___|___|___|

ENDEREÇO
TIPO LOGRADOURO (Rua, Avenida, Praça...)
TIPO ENDEREÇO
R-RESIDENCIAL |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|__|

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|__|
LOGRADOURO:
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|__|

NÚMERO: COMPLEMENTO: CEP:

|___|___|___|___|___| |___|___|___|___|___|___|___|___|___|___| |___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|__|
BAIRRO:
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|__|
DISTRITO:
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|__|
MUNICÍPIO: UF
|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| |___|___|
MEIOS DE COMUNICAÇÃO
TIPOS: TE – TELEFONE CE – CELULAR OU FA – FAX

TIPO NÚMERO RAMAL TIPO NÚMERO RAMAL

|___|___| |___|___|___|___|___|___|___|___| - |___|___|___|___| |___|___| |___|___|___|___|___|___|___|___| - |___|___|___|___|

TIPO NÚMERO RAMAL TIPO NÚMERO RAMAL

|___|___| |___|___|___|___|___|___|___|___| - |___|___|___|___| |___|___| |___|___|___|___|___|___|___|___| - |___|___|___|___|

E-MAIL

|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
DEPENDENTE
CATEGORIA CATEGORIA
NASCIMENTO NASCIMENTO
(VER TABELA FFAX) (VER TABELA FFAX)
MÊS ANO MÊS ANO

|___|___|___|___|___|___| |____| |___|___|___|___|___|___| |____|

|___|___|___|___|___|___| |____| |___|___|___|___|___|___| |____|

|___|___|___|___|___|___| |____| |___|___|___|___|___|___| |____|

ISENÇÃO I.R. (S/N) |____| IPSEMG (S/N) |____|

DATA DE FALECIMENTO OU DESAPARECIMENTO JUDICIAL: |___|___|___|___|___|___|___|___|

ASSINATURA RESPONSÁVEL PREENCHIMENTO: DATA: ASSINATURA SERVIDOR: DATA: