Sistemas.mre.gov.br
Date of application: ___/______/______Total number of applications: _______Full name of applicantDate of Birth 12345678910111213141516The applications above are being presented to the Consulate General of Brazil in Atlanta in full compliance to the Acknowledgment Term. In name of [COMPANY NAME], the following agent is authorized to represent us in this date:_____ _________________________________. (registered agent)______________ ___/____/_____ , (city, state) (dd) (mm) (yy)Name and Signature:________________________________________ (director/CEO/owner) ................
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