FICHA CADASTRAL / REGISTRATION FORM

FICHA CADASTRAL / REGISTRATION FORM

(PESSOAS FÍSICAS - ESTRANHAS AO QUADRO USP) / (INDIVIDUALS NOT AFFILIATED WITH USP)

Submitted by secfma on Tue, 15/09/2026 - 12:49

NOME (Name): *

DATA DE NASCIMENTO (Date of Birth): *

SEXO (gender): *

NOME DA MÃE (mother’s name): *

Nº RG / RNE (ID - not required for foreign nationals):

ÓRGÃO EXPEDIDOR (Issuing Authority - not required for foreign nationals):

DATA DE EXPEDIÇÃO RG (ID Issue Date - not required for foreign nationals):

Nº CPF (CPF Number - not required for foreign nationals):

GRAU DE INSTRUÇÃO (Highest Degree Earned): *

OCUPAÇÃO (occupation): *

PASSPORT NUMBER (required for foreign nationals)

ÓRGÃO EMISSOR DO PASSAPORTE (Passport Issuing Authority - required for foreign nationals)

PASSPORT ISSUE DATE (required for foreign nationals):

PASSPORT EXPIRATION DATE (required for foreign nationals):

NACIONALIDADE (Nationality): *

NATURALIDADE (not required for foreign nationals):

END. RESIDENCIAL (Residential address): *

BAIRRO (not required for foreign nationals):

Nº CEP (zip/postal code): *

TELEFONE RESIDENCIAL / CELULAR (home phone / mobile phone): *

UNIVERSIDADE ONDE TRABALHA (Employing Institution): *

TELEFONE COMERCIAL (business phone): *

Nº CADASTRO MERCÚRIO (leave blanck):

Nº PIS - PASEP – NIT (leave blanck):

RESPONSABILIZO-ME PELAS INFORMAÇÕES DESCRITAS ACIMA (I declare that I am responsible for the information above) *

I Agree

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