SECRETARIAS - ANEXO VIIMODELO DE AUTODECLARAÇÃO DE ENDEREÇOEDITAL VIVER CULTURA
| Data de publicação | 12 Abril 2022 |
| Seção | PODER EXECUTIVO |
| Número da edição | 28223 |
ANEXO VII
EDITAL DE SELEÇÃO Nº 03/2022/SECEL/MT - VIVER CULTURA
AUTODECLARAÇÃO DE ENDEREÇO
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.”.
Cidade/MT, _____ de _____________ de 20_____.
_________________________________________
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