Modelo de Ficha de Atendimento - Cliente.

FICHA DE ATENDIMENTO

NOME_________________________________________________________________________________________________________________________________

PAI ____________________________________________________________________________________________________________________________________

MÃE __________________________________________________________________________________________________________________________________

CPF ______________________________ RG _______________________________ DATA NASCIMENTO__________________________________________

ENDEREÇO ________________________________________________________________________________________ CEP _____________________________

TELEFONE RESIDENCIAL _____________________________________________ CELULAR _________________________________________________

ESTADO CIVIL______________________________________PROFISSÃO ____________________________________________________________________

E-MAIL _______________________________________________________________________________________________________________________________

REPRESENTANTE LEGAL

NOME_________________________________________________________________________________________________________________________________

CPF ________________________________ RG _________________________________ DATA NASCIMENTO______________________________________

ENDEREÇO ________________________________________________________________________________________ CEP _____________________________

ESTADO CIVIL______________________________________PROFISSÃO ____________________________________________________________________

LOCAL DE TRABALHO ______________________________________________________________________________________________________________

E-MAIL _______________________________________________________________________________________________________________________________

PARTE CONTRÁRIA

NOME_________________________________________________________________________________________________________________________________

CPF/CNPJ ________________________________ RG _________________________________ ESTADO CIVIL _____________________________________

ENDEREÇO ________________________________________________________________________________________ CEP _____________________________

PROFISSÃO/ATIVIDADE_____________________________________________________________________________________________________________

LOCAL DE TRABALHO/ ATIVIDADE________________________________________________________________________________________________

RELATO DOS FATOS

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Declaro que as informações prestadas são expressão da verdade, responsabilizando-me civil e criminalmente pela integralidade de seu conteúdo.

Pindamonhangaba/SP, _____ de _______________________ de 20____.

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Assinatura

Advertido (a) o (a) Declarante que todas as informações aqui prestadas devem ser comprovadas em juízo seja através de prova documental, testemunhal ou pericial. Não cabendo ao Advogado (a) buscar essas provas.









Advogada OAB/SP