ࡱ> BDAybjbj48{{ %%)))====L4= !hhh  $"% )hhhh %% 8 8 8 h%) 8 h 8 8 J8 0u8 8 t  0 !8 W&8 W&8 W&)8 <8 hhh 8 hhh !hhhhW&hhhhhhhhh+ : AUTORIZAO DE VIAGEM PARA MENOR DE 18 ANOS (TRAVEL AUTHORIZATION FOR MINORS UNDER 18 YEARS OLD) (leia as informaes na pgina do Consulado, boston.itamaraty.gov.br, antes de apresentar sua autorizao) ATENO: Preencher em 2 vias iguais e ANEXAR cpia do passaporte brasileiro do(a) menor 1 via do formulrio. eu/ns (I/We) (escrever abaixo o(s) nome(s) completo de quem autoriza) __________________________________________________________________________________ Identidade/passaporte n_____________________________________ rgo expedidor_____________________________ (ID/passport n) (issued by) e________________________________________________________________________________________ Identidade/passaporte n_____________________________________rgo expedidor____________________________, (ID/passport n) (issued by) Autorizo(amos) meu/nosso(a) filho(a) menor: (Authorize my/our underage child:) ______________________________________________________________________ escrever o nome completo do menor sem abreviaes a viajar(to travel) ( ) desacompanhado (unnacompanied), ou(or) ( ) em companhia de (with): ________________________________________________________________, se acompanhado, nome completo de quem acompanha o menor/name of person accompaning the child para o Brasil, dentro do territrio brasileiro e para todos os pases com os quais o Brasil mantm relaes diplomticas, bem como retonar aos Estados Unidos da Amrica. (To Brazil, within the Brazilian Territory, and to all countries with which Brazil maintains diplomatic relations, as well as to return to the United States of America) Validade at (valid until): ________/___________/____________ ( dia/day ms/month ano/year) Validade mxima poder ser de at 02 anos da data da expedio da autorizao. Coloque a data at quando voc deseja que este documento tenha validade, dentro do prazo de dois anos.) (maximum validity up to two years from the date of issue. Please indicate the date until when you wish that this document is valid, within two years.) _______________________, _______/ ________/ ________ Local(Place) Dia(Day) Ms/Month Ano//Year __________________________________ ___________________________________ Assinatura do pai/Fathers Signature Assinatura da me/Mothers Signature O cidado estrangeiro somente poder assinar perante notrio pblico (notary public) e dever posteriormente requerer o apostilamento do documento pela autoridade local competente (Secretaria de Estado em que o notrio est cadastrado). The foreign parent will only be able to sign this authorization before a notary public and then must request the issuance of an Apostille to the Secretary of State where the notary public is registered. Para preenchimento quando o documento for assinado perante notary public (Mandatory notarization below when signing before notary public).  ( ) 1 Via ( ) 2 Via-Conf.Art. 2 da Res. 131/26-5- 2011 do CNJ Notary Public Signature Witness CONSULADO-GERAL DO BRASIL EM BOSTON CONSULATE GENERAL OF BRAZIL IN BOSTON Notary Public Signature Witness FOTO RECENTE DO MENOR Minors recent picture (OPCIONAL/OPTIONAL) On this ____ day of ___________, 20___, before me, the undersigned notary public, personally appeared: _________________________________________and________________________________ (full name of document signer), proved to me through satisfactory evidence of identification, which were ____________________________, to be the person whose name is signed on the preceding or attached document in my presence. Notary Public Signature Witness Assinatura official e carimbo do notary public Official signature and seal of notary public USO OFICIAL NO VERSO / Official use on the back of this page Notary Public Signature Witness -bce? 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