autorização para concessão de passaporte para menores

It’s not necessary to notarize the signature(s) of the parent(s) if
they’re going to be present at the visa interview.
No es necesario autenticar la(s) firma(s) del (de los) genitor(es)
que vengan personalmente a la entrevista.
CONSULATE GENERAL OF BRAZIL IN MIAMI
Visa Section
3150 SW 38th Avenue Suite 100
Miami FL, 33146
[email protected]
AUTHORIZATION FOR ISSUANCE OF BRAZILIAN VISA FOR MINOR
AUTORIZACIÓN PARA LA EMISIÓN DE VISA PARA MENORES
We authorize the issuance of a Brazilian Visa for the following minor
Se autoriza la emisión de una Visa de Brasil para el/la siguiente menor
1 - MINOR IDENTIFICATION IDENTIFICACIÓN DEL/ DE LA MENOR
Full Name
Nombre y apellidos
Place Of Birth (City, State, Country)
Date of Birth
Lugar de Nacimiento (Ciudad, Estado, País)
Day Día
Passport Information
Issued by (Country and Issuing Office)
Number
EXPEDIDO POR (País y la Autoridad Expedidora)
Número
Fecha De Nacimiento
Month Mes
Issued on Fecha de Emisión
Day Día
Month Mes
Year Año
Year Año
2 – PARENTS INFORMATION INFORMACIÓN DE LOS PADRES
Full Name of Parent #1
Full Name of Parent #2
Nombre completo del (de la) progenitor(a) nº 1
Passport or ID Pasaporte o documento de identidad
Number
Passport or ID Pasaporte o documento de identidad
Issued on Fecha de Emisión
Day Día
Month Mes
Year Año
Número
Nombre completo del (de la) progenitor(a) nº 2
Number
Issued on
Número
Day Día
Fecha de Emisión
Month
Issued by (Issuing Office)
Country of Birth
Issued by (Issuing Office)
Country of Birth
EXPEDIDO POR (Autoridad Expedidora)
País de Nacimiento
EXPEDIDO POR (Autoridad Expedidora)
País de Nacimiento
Mes
Year Año
Mes
Year Año
3 – FORMAL STATEMENT DECLARACIÓN FORMAL
We declare that the above information is true and accurate
Declaramos que la información anterior es verdadera y exacta
Place
Local
Day Día
Parent 1 Signature
Date Fecha
Month Mes
Place
Local
Year Año
Date
Fecha
Day Día
Parent 2 Signature
Firma del Padre
Month
Firma de la Madre
4 – NOTARY’S CERTIFICATION: Parents or legal guardians must have their signatures recognized by Notary Public before submitting a visa application to this Consulate.
CERTIFICACIÓN DE NOTARIO: Los padres o tutores legales deben tener su firma reconocida por el Notario Público antes de presentar una solicitud de visado de este Consulado
NOTARY’S CERTIFICATE OF ACKNOWLEDGEMENT FOR SIGNATURE OF PARENT #2
State of ___________________ County of _________________________________
On_______/________/_________, before me personally appeared
On_______/________/_________, before me personally appeared
____________________________________________________,
□ personally known to me – OR –
□ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)
is/are subscribed to the within instrument and acknowledged to me that he/she/they executed
the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the
instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the
instrument. WITNESS my hand and official seal.
Note:
FOR NOTARY PUBLIC USE ONLY
NOTARY’S CERTIFICATE OF ACKNOWLEDGEMENT FOR SIGNATURE OF PARENT #1
State of ___________________ County of _________________________________
____________________________________________________,
□ personally known to me – OR –
□ proved to me on the basis of satisfactory evidence to be the person(s) whose name(s)
is/are subscribed to the within instrument and acknowledged to me that he/she/they executed
the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the
instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the
instrument. WITNESS my hand and official seal.
(Notary’s signature, stamp and commission expiration)
(Notary’s signature, stamp and commission expiration)
1) It is mandatory to add the original birth certificate to the minor’s visa applications.
2) Children of Brazilian nationals must additionally present a declaration of non-citizenship (see next page).
It’s not necessary to notarize the signature(s) of the parent(s) if
they’re going to be present at the visa interview.
No es necesario autenticar la(s) firma(s) del (de los) genitor(es)
que vengan personalmente a la entrevista.
CONSULATE GENERAL OF BRAZIL IN MIAMI
Visa Section
3150 SW 38th Avenue Suite 100
Miami FL, 33146
[email protected]
Declaração de Não-Cidadania
Statement of Non-Citizenship
Eu I /Nós We, ___________________________________ (genitor(a) nº 1 parent #1),
e/ou and/or ______________________________________ (genitor(a) nº 2 parent #2),
declaro (declaramos) para os devidos fins que meu(minha) filho(a) declare for all due intents and
purposes
that
our
child
_________________________________________________________,
nascido(a) no dia born on ____/_____/______(dd/mm/aaaa), na cidade de
in the city of
____________
_____________________, estado de state of ____________, país country ___________________,
nunca foi registrado(a) em Cartório no Brasil ou was never issued a birth certificate at a Brazilian “Cartório” or
Repartição Consular no Exterior e, portanto, a Brazilian consular office outside Brazil and, therefore,
não possui a cidadania brasileira. does not have Brazilian citizenship.
Estou (estamos) ciente(s) que I am (we are) aware that :
1) é recomendado que filhos de cidadãos brasileiros sejam registrados de forma a
salvaguardar quaisquer direitos no futuro;
1) it is recommended that children of Brazilian citizens be registered in order to safeguard any rights in the future;
2) o visto deverá ser cancelado caso seja emitida certidão de nascimento brasileira do menor.
2) the visa must be canceled if a Brazilian birth certificate is issued for the minor.
Declaramos que as informações acima são verdadeiras e corretas
We declare that the above information is true and accurate
__________________________________
__________________________________
assinatura do(a) genitor(a) brasileiro(a) nº 1 e/ou assinatura do(a) genitor(a) brasileiro(a) nº 2
signature of Brazilian parent #1
and/or
signature of Brazilian parent #2
Local/Place: _______________________________
Local/Place: _______________________________
Data/Date: ______/______/_________
Data/Date: ______/______/_________
Notary’s Certificate of Acknowledgement
Notary’s Certificate of Acknowledgement
State of ______________ County of _______________________
State of ______________ County of _______________________
On_______/________/_________, before me personally appeared
On_______/________/_________, before me personally appeared
____________________________________________________,
____________________________________________________,
□ personally known to me -- OR –
□ proved to me on the basis of
□ personally known to me -- OR –
□ proved to me on the basis of
satisfactory evidence to be the
person(s) whose name(s) is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s) or the entity upon behalf
of which the person(s) acted, executed the instrument. WITNESS my
hand and official seal.
satisfactory evidence to be the
person(s) whose name(s) is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s) or the entity upon behalf
of which the person(s) acted, executed the instrument. WITNESS my
hand and official seal.
_____________________________________________________
(Signature)
_____________________________________________________
(Signature)
(Stamp and Commission Expiration)
(Stamp and Commission Expiration)