SECRETARIAS - ANEXO VAUTODECLARAÇÃO DE RESIDÊNCIAEDITAL MOVIMENTAR ESPORTE
Data de publicação | 15 Junho 2021 |
Section | PODER EXECUTIVO |
Gazette Issue | 28020 |
ANEXO V
AUTODECLARAÇÃO DE RESIDÊNCIA
EDITAL DE SELEÇÃO 02/2021/SECEL/MT
Eu, ______________________________________________________________________, Documento de identidade _________________________ órgão exp. ________________, CPF ______________________, nacionalidade __________________________________, naturalidade _________________________, telefone fixo ( ) __________________, telefone celular ( ) __________________, e-mail ____________________________. Na falta de documentos para comprovação de residência, AUTODECLARO para os devidos fins, sob as penas da Lei, ser residente e domiciliado no endereço: _________________________________________________________________________
_________________________________________________________________________
Declaro ainda, estar ciente de que a falsidade da presente declaração pode implicar na sanção penal prevista no Art. 299 do Código Penal, conforme transcrição abaixo: “Art. 299 - Omitir, em documento público ou particular, declaração que nele deveria constar, ou nele inserir ou fazer inserir Declaração falsa ou diversa da que devia ser escrita, com o fim de prejudicar direito, criar obrigação ou alterar a verdade sobre o fato juridicamente relevante”; “Pena: reclusão de 1 (um) a 5 (cinco) anos e multa, se o documento é público e reclusão de 1 (um) a 3 (três) anos, se o documento é particular.”.
Obs.: Juntamente com essa declaração é obrigatório o envio de um comprovante de residência com o mesmo endereço citado acima em nome de terceiros.
Cuiabá, ________/ ________/ ________.
____________________________________________
Assinatura do Requerente
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