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RESERVADO
ESTADO DO CEARÁ
SECRETÁRIA DA SEGURANÇA PÚBLICA E DEFESA SOCIAL
ACADEMIA ESTADUAL DE SEGURANÇA PÚBLICA
POLÍCIA MILITAR DO ESTADO DO CEARÁ
Nº DE INSCRIÇÃO
Este formulário tem caráter reservado e destina-se exclusivamente ao uso da Coordenadoria de Inteligência (COIN) da
Secretaria da Segurança Pública e Defesa Social.
Em seu próprio interesse preste todas as informações pedidas neste formulário. Responda todas as questões de próprio
punho. Se o espaço for insuficiente, utilize a parte para complementação no final do mesmo, indicando o item que está
completando. Não deixe perguntas em branco.
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35. ALGUÉM DA SUA FAMÍLIA JÁ FEZ OU FAZ USO DE SUBSTÂNCIAS TÓXICAS? EM CASO
POSITIVO, FORNEÇA DETALHES.
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GRAU DE
NOME COMPLETO, POSTO / GRADUAÇÃO QUARTEL
PARENTESCO
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72. ENDEREÇO
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Em caso positivo, indique o motivo, o local, a data do ocorrido, o nºdo Inquérito, nº do processo,
Vara Cível, Tribunal etc.
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84. NA HIPÓTESE DE VOCÊ OCUPAR OU TER OCUPADO CARGO PÚBLICO NAS ESFERAS
MUNICIPAL, ESTADUAL, DISTRITAL OU FEDERAL, RESPONDEU À
SINDICÂNCIA DISCIPLINAR, INQUÉRITO ADMINISTRATIVO OU
PROCESSO DISCIPLINAR?
Em caso positivo, indique o motivo, o local, a data do ocorrido, o nºdo Inquérito, nº do processo,etc.
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ESPECIFIQUE:
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93. Espaço para esclarecer lacunas no preenchimento desta FIC, bem como para prestar outras informações
julgadas relevantes para a investigação social e funcional.
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DO CEARÁ, a realizar levantamento social e funcional sobre minha vida pessoal, para
obter e/ou confirmar as informações prestadas, verificar se possuo idoneidade moral e
conduta ilibada, imprescindíveis para o exercício das atribuições inerentes ao cargo
pretendido, isentando de qualquer responsabilidade as pessoas, empresas e estabelecimentos
de ensino que possam vir a prestar informações sobre minha pessoa.
__ , de de .
Assinatura do Candidato.
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