+-----------------------------------------------------------------------------+
|  Servico Central de Protecao ao Credito - SCPC             R E G I S T R O  |
+-----------------------------------------------------------------------------+
|   __________________________________________________ Codigo.: ____________  |
+-----+-----------------------------------------------------------------------+
|  I  | Nome.........: _____________________________________________________  |
|  D  |                                                                       |
|  E  | Nascimento...: _________________________             Em.: __/__/____  |
|  N  | Est.Civil....: _________________                                      |
|  T  | Conjuge......: ___________________________________ Nasc.: __/__/____  |
|  I  | Endereco.....: _____________________________________________________  |
|  F  | Cidade.......: ____________________     CEP: ___________      UF: __  |
|  I  | E-mail.......: _____________________________ Fone..: _______________  |
|  C  | Empresa Trab.: _____________________________________________________  |
|  A  | Profis/Cargo.: _____________________________________________________  |
|  C  | Filiacao-PAI.: _____________________________________________________  |
|  A  |          MAE.: _____________________________________________________  |
|  O  | Documentacao.: CPF.: ________________         RG..: ________________  |
#15
+---------+-----+-------+------------+------------+------------+-------------------------------+------------+------------+------------+
|  NUMERO | SER | PARC. | EMISSAO    |TOTAL COMPRA| VENCIMENTO | REFERENCIA                    |ENTRADA SCPC| SAIDA SCPC |      VALOR |
+---------+-----+-------+------------+------------+------------+-------------------------------+------------+------------+------------+
<repete>
|_______.  ___.  ____.    __/__/____    ___,___.__  __/__/____   ______________________________ __/__/____    __/__/____   ___,___.__ |
+-------------------------------------------------------------------------------------------------------------------------------------+
#18
| _________________________ , __ de __________ de ____      Total.: ___,___.__|
|                                                                             |
|                              _____________________________________________  |
|                                    Carimbo e Assinatura do Associado        |
+-----------------------------------------------------------------------------+
#15
|                   E  OBRIGACAO  DO  ASSOCIADO  "COMUNICAR"  AO  CLIENTE  QUE  O  MESMO  ESTA  SENDO  "REGISTRADO"                   |
+-------------------------------------------------------------------------------------------------------------------------------------+
#18