<html><head><title>PERMAN&Ecirc;NCIA DEFINITIVA NO PA&Iacute;S</title><meta content="text/html; charset=UTF-8" http-equiv="content-type"><style type="text/css">ol{margin:0;padding:0}.c1{line-height:1.0;padding-top:0pt;text-indent:14.2pt;direction:ltr;padding-bottom:14.2pt}.c2{max-width:441.9pt;background-color:#ffffff;padding:70.8pt 85pt 70.8pt 85pt}.c0{vertical-align:baseline;font-size:12pt;font-family:"Arial"}.c3{color:#ff0000;font-weight:bold}.c5{text-align:justify}.c4{text-align:center}.title{padding-top:24pt;line-height:1.0;text-align:left;color:#000000;font-size:36pt;font-family:"Times New Roman";font-weight:bold;padding-bottom:6pt;page-break-after:avoid}.subtitle{padding-top:18pt;line-height:1.0;text-align:left;color:#666666;font-style:italic;font-size:24pt;font-family:"Georgia";padding-bottom:4pt;page-break-after:avoid}li{color:#000000;font-size:10pt;font-family:"Times New Roman"}p{color:#000000;font-size:10pt;margin:0;font-family:"Times New Roman"}h1{padding-top:24pt;line-height:1.0;text-align:left;color:#000000;font-size:24pt;font-family:"Times New Roman";font-weight:bold;padding-bottom:6pt;page-break-after:avoid}h2{padding-top:18pt;line-height:1.0;text-align:left;color:#000000;font-size:18pt;font-family:"Times New Roman";font-weight:bold;padding-bottom:4pt;page-break-after:avoid}h3{padding-top:14pt;line-height:1.0;text-align:left;color:#000000;font-size:14pt;font-family:"Times New Roman";font-weight:bold;padding-bottom:4pt;page-break-after:avoid}h4{padding-top:12pt;line-height:1.0;text-align:left;color:#000000;font-size:12pt;font-family:"Times New Roman";font-weight:bold;padding-bottom:2pt;page-break-after:avoid}h5{padding-top:11pt;line-height:1.0;text-align:left;color:#000000;font-size:11pt;font-family:"Times New Roman";font-weight:bold;padding-bottom:2pt;page-break-after:avoid}h6{padding-top:10pt;line-height:1.0;text-align:left;color:#000000;font-size:10pt;font-family:"Times New Roman";font-weight:bold;padding-bottom:2pt;page-break-after:avoid}</style></head><body class="c2">PERMAN&Ecirc;NCIA DEFINITIVA NO PA&Iacute;SILUSTR&Iacute;SSIMO SENHOR DELEGADO DE ESTRANGEIROS NESTA CAPITAL...................................., natural de.....................................&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(cidade, estado, pa&iacute;s), nascido no dia.........de...............................de.........., filho de...........................e de........................................, de &nbsp; &nbsp; &nbsp;nacionalidade ............................ profiss&atilde;o................................., estado civil............... ......................, residente na rua.................................... n&ordm;...., na cidade de......................................, estado de..................., tendo ingressado no territ&oacute;rio nacional no dia.......de..........................de........ , classificado como turista ou tempor&aacute;rio (conforme o caso), procedente de&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;(pa&iacute;s de onde procede), vem requerer a V. S&ordf;., observadas as formalidades legais, seja o pedido de perman&ecirc;ncia definitiva no pa&iacute;s, encaminhado ao Departamento Federal de Justi&ccedil;a.N. TermosP. Deferimento (Local e data)(Assinatura do Requerente)</body></html>

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