Associação Decifrenigma - Seja Bem Vindo(a)!!!

&amp;amp;amp;amp;amp;lt;table bgcolor="#FFFFFF" border="0" cellpadding="2" cellspacing="0" style="text-align: left;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tbody&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td colspan="2"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;b style="font-size: 20px;"&amp;amp;amp;amp;amp;gt;FORMULÁRIO DE RENDIMENTOS&amp;amp;amp;amp;amp;lt;/b&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr valign="top"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td align="" id="td_element_label_0"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;b&amp;amp;amp;amp;amp;gt;Nome:&amp;amp;amp;amp;amp;lt;/b&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: red;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;small&amp;amp;amp;amp;amp;gt;*&amp;amp;amp;amp;amp;lt;/small&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td id="td_element_field_0"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;input class="validate[required]" id="element_0" name="element_0" size="30" type="text" value="" /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;div style="color: black; padding-bottom: 8px;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/div&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr valign="top"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td align="" id="td_element_label_1"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;b&amp;amp;amp;amp;amp;gt;Data de Nascimento (DD-MM-AAAA):&amp;amp;amp;amp;amp;lt;/b&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: red;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;small&amp;amp;amp;amp;amp;gt;*&amp;amp;amp;amp;amp;lt;/small&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td id="td_element_field_1"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;table border="0" cellpadding="0" cellspacing="0"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tbody&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td style="padding-left: 3px; padding-right: 3px;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;select id="element_1_year-dd" name="element_1_day"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="01"&amp;amp;amp;amp;amp;gt; 01 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="02"&amp;amp;amp;amp;amp;gt; 02 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="03"&amp;amp;amp;amp;amp;gt; 03 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="04"&amp;amp;amp;amp;amp;gt; 04 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="05"&amp;amp;amp;amp;amp;gt; 05 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="06"&amp;amp;amp;amp;amp;gt; 06 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="07"&amp;amp;amp;amp;amp;gt; 07 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="08"&amp;amp;amp;amp;amp;gt; 08 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="09"&amp;amp;amp;amp;amp;gt; 09 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="10"&amp;amp;amp;amp;amp;gt; 10 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="11"&amp;amp;amp;amp;amp;gt; 11 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="12"&amp;amp;amp;amp;amp;gt; 12 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="13"&amp;amp;amp;amp;amp;gt; 13 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="14"&amp;amp;amp;amp;amp;gt; 14 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="15"&amp;amp;amp;amp;amp;gt; 15 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="16"&amp;amp;amp;amp;amp;gt; 16 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="17"&amp;amp;amp;amp;amp;gt; 17 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="18"&amp;amp;amp;amp;amp;gt; 18 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="19"&amp;amp;amp;amp;amp;gt; 19 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="20"&amp;amp;amp;amp;amp;gt; 20 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="21"&amp;amp;amp;amp;amp;gt; 21 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="22"&amp;amp;amp;amp;amp;gt; 22 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="23"&amp;amp;amp;amp;amp;gt; 23 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="24"&amp;amp;amp;amp;amp;gt; 24 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="25"&amp;amp;amp;amp;amp;gt; 25 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="26"&amp;amp;amp;amp;amp;gt; 26 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="27"&amp;amp;amp;amp;amp;gt; 27 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="28"&amp;amp;amp;amp;amp;gt; 28 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="29"&amp;amp;amp;amp;amp;gt; 29 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="30"&amp;amp;amp;amp;amp;gt; 30 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="31"&amp;amp;amp;amp;amp;gt; 31 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/select&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;DD&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td style="padding-top: 5px;" valign="top"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;/&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td style="padding-left: 0; padding-right: 3px;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;select id="element_1_year-mm" name="element_1_month"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="01"&amp;amp;amp;amp;amp;gt; 01 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="02"&amp;amp;amp;amp;amp;gt; 02 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="03"&amp;amp;amp;amp;amp;gt; 03 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="04"&amp;amp;amp;amp;amp;gt; 04 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="05"&amp;amp;amp;amp;amp;gt; 05 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="06"&amp;amp;amp;amp;amp;gt; 06 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="07"&amp;amp;amp;amp;amp;gt; 07 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="08"&amp;amp;amp;amp;amp;gt; 08 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="09"&amp;amp;amp;amp;amp;gt; 09 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="10"&amp;amp;amp;amp;amp;gt; 10 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="11"&amp;amp;amp;amp;amp;gt; 11 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="12"&amp;amp;amp;amp;amp;gt; 12 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/select&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;MM&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td style="padding-top: 5px;" valign="top"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;/&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td style="padding-left: 3px; padding-right: 3px;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;select id="element_1_year" name="element_1_year"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1920"&amp;amp;amp;amp;amp;gt; 1920 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1921"&amp;amp;amp;amp;amp;gt; 1921 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1922"&amp;amp;amp;amp;amp;gt; 1922 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1923"&amp;amp;amp;amp;amp;gt; 1923 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1924"&amp;amp;amp;amp;amp;gt; 1924 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1925"&amp;amp;amp;amp;amp;gt; 1925 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1926"&amp;amp;amp;amp;amp;gt; 1926 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1927"&amp;amp;amp;amp;amp;gt; 1927 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1928"&amp;amp;amp;amp;amp;gt; 1928 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1929"&amp;amp;amp;amp;amp;gt; 1929 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1930"&amp;amp;amp;amp;amp;gt; 1930 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1931"&amp;amp;amp;amp;amp;gt; 1931 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1932"&amp;amp;amp;amp;amp;gt; 1932 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1933"&amp;amp;amp;amp;amp;gt; 1933 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1934"&amp;amp;amp;amp;amp;gt; 1934 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1935"&amp;amp;amp;amp;amp;gt; 1935 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1936"&amp;amp;amp;amp;amp;gt; 1936 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1937"&amp;amp;amp;amp;amp;gt; 1937 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1938"&amp;amp;amp;amp;amp;gt; 1938 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1939"&amp;amp;amp;amp;amp;gt; 1939 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1940"&amp;amp;amp;amp;amp;gt; 1940 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1941"&amp;amp;amp;amp;amp;gt; 1941 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1942"&amp;amp;amp;amp;amp;gt; 1942 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1943"&amp;amp;amp;amp;amp;gt; 1943 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1944"&amp;amp;amp;amp;amp;gt; 1944 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1945"&amp;amp;amp;amp;amp;gt; 1945 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1946"&amp;amp;amp;amp;amp;gt; 1946 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1947"&amp;amp;amp;amp;amp;gt; 1947 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1948"&amp;amp;amp;amp;amp;gt; 1948 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1949"&amp;amp;amp;amp;amp;gt; 1949 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1950"&amp;amp;amp;amp;amp;gt; 1950 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1951"&amp;amp;amp;amp;amp;gt; 1951 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1952"&amp;amp;amp;amp;amp;gt; 1952 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1953"&amp;amp;amp;amp;amp;gt; 1953 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1954"&amp;amp;amp;amp;amp;gt; 1954 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1955"&amp;amp;amp;amp;amp;gt; 1955 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1956"&amp;amp;amp;amp;amp;gt; 1956 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1957"&amp;amp;amp;amp;amp;gt; 1957 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1958"&amp;amp;amp;amp;amp;gt; 1958 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1959"&amp;amp;amp;amp;amp;gt; 1959 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1960"&amp;amp;amp;amp;amp;gt; 1960 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1961"&amp;amp;amp;amp;amp;gt; 1961 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1962"&amp;amp;amp;amp;amp;gt; 1962 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1963"&amp;amp;amp;amp;amp;gt; 1963 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1964"&amp;amp;amp;amp;amp;gt; 1964 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1965"&amp;amp;amp;amp;amp;gt; 1965 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1966"&amp;amp;amp;amp;amp;gt; 1966 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1967"&amp;amp;amp;amp;amp;gt; 1967 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1968"&amp;amp;amp;amp;amp;gt; 1968 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1969"&amp;amp;amp;amp;amp;gt; 1969 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1970"&amp;amp;amp;amp;amp;gt; 1970 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1971"&amp;amp;amp;amp;amp;gt; 1971 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1972"&amp;amp;amp;amp;amp;gt; 1972 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1973"&amp;amp;amp;amp;amp;gt; 1973 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1974"&amp;amp;amp;amp;amp;gt; 1974 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1975"&amp;amp;amp;amp;amp;gt; 1975 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1976"&amp;amp;amp;amp;amp;gt; 1976 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1977"&amp;amp;amp;amp;amp;gt; 1977 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1978"&amp;amp;amp;amp;amp;gt; 1978 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1979"&amp;amp;amp;amp;amp;gt; 1979 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1980"&amp;amp;amp;amp;amp;gt; 1980 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1981"&amp;amp;amp;amp;amp;gt; 1981 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1982"&amp;amp;amp;amp;amp;gt; 1982 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1983"&amp;amp;amp;amp;amp;gt; 1983 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1984"&amp;amp;amp;amp;amp;gt; 1984 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1985"&amp;amp;amp;amp;amp;gt; 1985 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1986"&amp;amp;amp;amp;amp;gt; 1986 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1987"&amp;amp;amp;amp;amp;gt; 1987 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1988"&amp;amp;amp;amp;amp;gt; 1988 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1989"&amp;amp;amp;amp;amp;gt; 1989 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1990"&amp;amp;amp;amp;amp;gt; 1990 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1991"&amp;amp;amp;amp;amp;gt; 1991 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1992"&amp;amp;amp;amp;amp;gt; 1992 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1993"&amp;amp;amp;amp;amp;gt; 1993 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1994"&amp;amp;amp;amp;amp;gt; 1994 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1995"&amp;amp;amp;amp;amp;gt; 1995 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1996"&amp;amp;amp;amp;amp;gt; 1996 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1997"&amp;amp;amp;amp;amp;gt; 1997 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1998"&amp;amp;amp;amp;amp;gt; 1998 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1999"&amp;amp;amp;amp;amp;gt; 1999 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2000"&amp;amp;amp;amp;amp;gt; 2000 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2001"&amp;amp;amp;amp;amp;gt; 2001 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2002"&amp;amp;amp;amp;amp;gt; 2002 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2003"&amp;amp;amp;amp;amp;gt; 2003 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2004"&amp;amp;amp;amp;amp;gt; 2004 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2005"&amp;amp;amp;amp;amp;gt; 2005 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2006"&amp;amp;amp;amp;amp;gt; 2006 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2007"&amp;amp;amp;amp;amp;gt; 2007 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2008"&amp;amp;amp;amp;amp;gt; 2008 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2009"&amp;amp;amp;amp;amp;gt; 2009 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2010"&amp;amp;amp;amp;amp;gt; 2010 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2011"&amp;amp;amp;amp;amp;gt; 2011 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2012"&amp;amp;amp;amp;amp;gt; 2012 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2013"&amp;amp;amp;amp;amp;gt; 2013 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2014"&amp;amp;amp;amp;amp;gt; 2014 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2015"&amp;amp;amp;amp;amp;gt; 2015 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2016"&amp;amp;amp;amp;amp;gt; 2016 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2017"&amp;amp;amp;amp;amp;gt; 2017 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2018"&amp;amp;amp;amp;amp;gt; 2018 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2019"&amp;amp;amp;amp;amp;gt; 2019 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2020"&amp;amp;amp;amp;amp;gt; 2020 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2021"&amp;amp;amp;amp;amp;gt; 2021 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2022"&amp;amp;amp;amp;amp;gt; 2022 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2023"&amp;amp;amp;amp;amp;gt; 2023 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2024"&amp;amp;amp;amp;amp;gt; 2024 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2025"&amp;amp;amp;amp;amp;gt; 2025 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2026"&amp;amp;amp;amp;amp;gt; 2026 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2027"&amp;amp;amp;amp;amp;gt; 2027 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2028"&amp;amp;amp;amp;amp;gt; 2028 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2029"&amp;amp;amp;amp;amp;gt; 2029 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2030"&amp;amp;amp;amp;amp;gt; 2030 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/select&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;YYYY&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tbody&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/table&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;div style="color: black; padding-bottom: 8px;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/div&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr valign="top"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td align="" id="td_element_label_2"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; 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font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;b&amp;amp;amp;amp;amp;gt;Nº de Dependentes:&amp;amp;amp;amp;amp;lt;/b&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: red;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;small&amp;amp;amp;amp;amp;gt;*&amp;amp;amp;amp;amp;lt;/small&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td id="td_element_field_7"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;input class="validate[required,custom[onlyNumber]]" id="element_7" name="element_7" size="30" type="text" value="" /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;div style="color: black; padding-bottom: 8px;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/div&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr valign="top"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td colspan="2"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;h3 id="element_8" name="element_8" style="border-top: 1px dotted #CCCCCC; font-size: 14px; margin: 14px 0; padding: 10px 0 6px 0; position: static;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/h3&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;div style="color: black; padding-bottom: 8px;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/div&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr valign="top"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td align="" id="td_element_label_9"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;b&amp;amp;amp;amp;amp;gt;Qual o serviço que solicita?&amp;amp;amp;amp;amp;lt;/b&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: red;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;small&amp;amp;amp;amp;amp;gt;*&amp;amp;amp;amp;amp;lt;/small&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td id="td_element_field_9"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;select class="validate[required]" id="element_9" name="element_9"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option selected="selected" value=""&amp;amp;amp;amp;amp;gt; Escolha uma hipótese &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="Psicologia"&amp;amp;amp;amp;amp;gt; Psicologia &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="Terapia da Fala"&amp;amp;amp;amp;amp;gt; Terapia da Fala &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="Terapia Ocupacional"&amp;amp;amp;amp;amp;gt; Terapia Ocupacional &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="Hipnoterapia"&amp;amp;amp;amp;amp;gt; Hipnoterapia &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="Massagem Terapêutica"&amp;amp;amp;amp;amp;gt; Massagem Terapêutica &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="Nutrição"&amp;amp;amp;amp;amp;gt; Nutrição &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="Outro"&amp;amp;amp;amp;amp;gt; Outro &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/select&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;div style="color: black; padding-bottom: 8px;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/div&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr valign="top"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td align="" id="td_element_label_10"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;b&amp;amp;amp;amp;amp;gt;No caso de ter escolhido "Outro", especifique qual:&amp;amp;amp;amp;amp;lt;/b&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td id="td_element_field_10"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;input class="validate[optional]" id="element_10" name="element_10" size="30" type="text" value="" /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;div style="color: black; padding-bottom: 8px;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/div&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr valign="top"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td align="" id="td_element_label_11"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;b&amp;amp;amp;amp;amp;gt;Nome do Utente:&amp;amp;amp;amp;amp;lt;/b&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: red;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;small&amp;amp;amp;amp;amp;gt;*&amp;amp;amp;amp;amp;lt;/small&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td id="td_element_field_11"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;input class="validate[required]" id="element_11" name="element_11" size="30" type="text" value="" /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;div style="color: black; padding-bottom: 8px;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/div&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr valign="top"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td align="" id="td_element_label_12"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;b&amp;amp;amp;amp;amp;gt;Data de Nascimento (DD-MM-AAAA):&amp;amp;amp;amp;amp;lt;/b&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: red;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;small&amp;amp;amp;amp;amp;gt;*&amp;amp;amp;amp;amp;lt;/small&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td id="td_element_field_12"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;table border="0" cellpadding="0" cellspacing="0"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tbody&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td style="padding-left: 3px; padding-right: 3px;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;select id="element_12_year-dd" name="element_12_day"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="01"&amp;amp;amp;amp;amp;gt; 01 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="02"&amp;amp;amp;amp;amp;gt; 02 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="03"&amp;amp;amp;amp;amp;gt; 03 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="04"&amp;amp;amp;amp;amp;gt; 04 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="05"&amp;amp;amp;amp;amp;gt; 05 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="06"&amp;amp;amp;amp;amp;gt; 06 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="07"&amp;amp;amp;amp;amp;gt; 07 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="08"&amp;amp;amp;amp;amp;gt; 08 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="09"&amp;amp;amp;amp;amp;gt; 09 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="10"&amp;amp;amp;amp;amp;gt; 10 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="11"&amp;amp;amp;amp;amp;gt; 11 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="12"&amp;amp;amp;amp;amp;gt; 12 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="13"&amp;amp;amp;amp;amp;gt; 13 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="14"&amp;amp;amp;amp;amp;gt; 14 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="15"&amp;amp;amp;amp;amp;gt; 15 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="16"&amp;amp;amp;amp;amp;gt; 16 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="17"&amp;amp;amp;amp;amp;gt; 17 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="18"&amp;amp;amp;amp;amp;gt; 18 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="19"&amp;amp;amp;amp;amp;gt; 19 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="20"&amp;amp;amp;amp;amp;gt; 20 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="21"&amp;amp;amp;amp;amp;gt; 21 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="22"&amp;amp;amp;amp;amp;gt; 22 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="23"&amp;amp;amp;amp;amp;gt; 23 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="24"&amp;amp;amp;amp;amp;gt; 24 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="25"&amp;amp;amp;amp;amp;gt; 25 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="26"&amp;amp;amp;amp;amp;gt; 26 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="27"&amp;amp;amp;amp;amp;gt; 27 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="28"&amp;amp;amp;amp;amp;gt; 28 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="29"&amp;amp;amp;amp;amp;gt; 29 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="30"&amp;amp;amp;amp;amp;gt; 30 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="31"&amp;amp;amp;amp;amp;gt; 31 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/select&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;DD&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td style="padding-top: 5px;" valign="top"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;/&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td style="padding-left: 0; padding-right: 3px;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;select id="element_12_year-mm" name="element_12_month"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="01"&amp;amp;amp;amp;amp;gt; 01 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="02"&amp;amp;amp;amp;amp;gt; 02 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="03"&amp;amp;amp;amp;amp;gt; 03 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="04"&amp;amp;amp;amp;amp;gt; 04 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="05"&amp;amp;amp;amp;amp;gt; 05 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="06"&amp;amp;amp;amp;amp;gt; 06 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="07"&amp;amp;amp;amp;amp;gt; 07 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="08"&amp;amp;amp;amp;amp;gt; 08 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="09"&amp;amp;amp;amp;amp;gt; 09 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="10"&amp;amp;amp;amp;amp;gt; 10 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="11"&amp;amp;amp;amp;amp;gt; 11 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="12"&amp;amp;amp;amp;amp;gt; 12 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/select&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;MM&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td style="padding-top: 5px;" valign="top"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;/&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td style="padding-left: 3px; padding-right: 3px;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;select id="element_12_year" name="element_12_year"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1920"&amp;amp;amp;amp;amp;gt; 1920 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1921"&amp;amp;amp;amp;amp;gt; 1921 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1922"&amp;amp;amp;amp;amp;gt; 1922 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1923"&amp;amp;amp;amp;amp;gt; 1923 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1924"&amp;amp;amp;amp;amp;gt; 1924 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1925"&amp;amp;amp;amp;amp;gt; 1925 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1926"&amp;amp;amp;amp;amp;gt; 1926 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1927"&amp;amp;amp;amp;amp;gt; 1927 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1928"&amp;amp;amp;amp;amp;gt; 1928 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1929"&amp;amp;amp;amp;amp;gt; 1929 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1930"&amp;amp;amp;amp;amp;gt; 1930 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1931"&amp;amp;amp;amp;amp;gt; 1931 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1932"&amp;amp;amp;amp;amp;gt; 1932 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1933"&amp;amp;amp;amp;amp;gt; 1933 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1934"&amp;amp;amp;amp;amp;gt; 1934 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1935"&amp;amp;amp;amp;amp;gt; 1935 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1936"&amp;amp;amp;amp;amp;gt; 1936 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1937"&amp;amp;amp;amp;amp;gt; 1937 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1938"&amp;amp;amp;amp;amp;gt; 1938 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1939"&amp;amp;amp;amp;amp;gt; 1939 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1940"&amp;amp;amp;amp;amp;gt; 1940 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1941"&amp;amp;amp;amp;amp;gt; 1941 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1942"&amp;amp;amp;amp;amp;gt; 1942 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1943"&amp;amp;amp;amp;amp;gt; 1943 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1944"&amp;amp;amp;amp;amp;gt; 1944 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1945"&amp;amp;amp;amp;amp;gt; 1945 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1946"&amp;amp;amp;amp;amp;gt; 1946 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1947"&amp;amp;amp;amp;amp;gt; 1947 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1948"&amp;amp;amp;amp;amp;gt; 1948 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1949"&amp;amp;amp;amp;amp;gt; 1949 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1950"&amp;amp;amp;amp;amp;gt; 1950 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1951"&amp;amp;amp;amp;amp;gt; 1951 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1952"&amp;amp;amp;amp;amp;gt; 1952 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1953"&amp;amp;amp;amp;amp;gt; 1953 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1954"&amp;amp;amp;amp;amp;gt; 1954 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1955"&amp;amp;amp;amp;amp;gt; 1955 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1956"&amp;amp;amp;amp;amp;gt; 1956 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1957"&amp;amp;amp;amp;amp;gt; 1957 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1958"&amp;amp;amp;amp;amp;gt; 1958 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1959"&amp;amp;amp;amp;amp;gt; 1959 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1960"&amp;amp;amp;amp;amp;gt; 1960 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1961"&amp;amp;amp;amp;amp;gt; 1961 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1962"&amp;amp;amp;amp;amp;gt; 1962 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1963"&amp;amp;amp;amp;amp;gt; 1963 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1964"&amp;amp;amp;amp;amp;gt; 1964 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1965"&amp;amp;amp;amp;amp;gt; 1965 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1966"&amp;amp;amp;amp;amp;gt; 1966 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1967"&amp;amp;amp;amp;amp;gt; 1967 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1968"&amp;amp;amp;amp;amp;gt; 1968 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1969"&amp;amp;amp;amp;amp;gt; 1969 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1970"&amp;amp;amp;amp;amp;gt; 1970 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1971"&amp;amp;amp;amp;amp;gt; 1971 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1972"&amp;amp;amp;amp;amp;gt; 1972 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1973"&amp;amp;amp;amp;amp;gt; 1973 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1974"&amp;amp;amp;amp;amp;gt; 1974 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1975"&amp;amp;amp;amp;amp;gt; 1975 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1976"&amp;amp;amp;amp;amp;gt; 1976 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1977"&amp;amp;amp;amp;amp;gt; 1977 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1978"&amp;amp;amp;amp;amp;gt; 1978 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1979"&amp;amp;amp;amp;amp;gt; 1979 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1980"&amp;amp;amp;amp;amp;gt; 1980 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1981"&amp;amp;amp;amp;amp;gt; 1981 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1982"&amp;amp;amp;amp;amp;gt; 1982 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1983"&amp;amp;amp;amp;amp;gt; 1983 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1984"&amp;amp;amp;amp;amp;gt; 1984 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1985"&amp;amp;amp;amp;amp;gt; 1985 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1986"&amp;amp;amp;amp;amp;gt; 1986 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1987"&amp;amp;amp;amp;amp;gt; 1987 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1988"&amp;amp;amp;amp;amp;gt; 1988 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1989"&amp;amp;amp;amp;amp;gt; 1989 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1990"&amp;amp;amp;amp;amp;gt; 1990 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1991"&amp;amp;amp;amp;amp;gt; 1991 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1992"&amp;amp;amp;amp;amp;gt; 1992 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1993"&amp;amp;amp;amp;amp;gt; 1993 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1994"&amp;amp;amp;amp;amp;gt; 1994 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1995"&amp;amp;amp;amp;amp;gt; 1995 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1996"&amp;amp;amp;amp;amp;gt; 1996 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1997"&amp;amp;amp;amp;amp;gt; 1997 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1998"&amp;amp;amp;amp;amp;gt; 1998 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="1999"&amp;amp;amp;amp;amp;gt; 1999 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2000"&amp;amp;amp;amp;amp;gt; 2000 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2001"&amp;amp;amp;amp;amp;gt; 2001 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2002"&amp;amp;amp;amp;amp;gt; 2002 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2003"&amp;amp;amp;amp;amp;gt; 2003 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2004"&amp;amp;amp;amp;amp;gt; 2004 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2005"&amp;amp;amp;amp;amp;gt; 2005 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2006"&amp;amp;amp;amp;amp;gt; 2006 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2007"&amp;amp;amp;amp;amp;gt; 2007 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2008"&amp;amp;amp;amp;amp;gt; 2008 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2009"&amp;amp;amp;amp;amp;gt; 2009 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2010"&amp;amp;amp;amp;amp;gt; 2010 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2011"&amp;amp;amp;amp;amp;gt; 2011 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2012"&amp;amp;amp;amp;amp;gt; 2012 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2013"&amp;amp;amp;amp;amp;gt; 2013 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2014"&amp;amp;amp;amp;amp;gt; 2014 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2015"&amp;amp;amp;amp;amp;gt; 2015 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2016"&amp;amp;amp;amp;amp;gt; 2016 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2017"&amp;amp;amp;amp;amp;gt; 2017 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2018"&amp;amp;amp;amp;amp;gt; 2018 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2019"&amp;amp;amp;amp;amp;gt; 2019 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2020"&amp;amp;amp;amp;amp;gt; 2020 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2021"&amp;amp;amp;amp;amp;gt; 2021 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2022"&amp;amp;amp;amp;amp;gt; 2022 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2023"&amp;amp;amp;amp;amp;gt; 2023 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2024"&amp;amp;amp;amp;amp;gt; 2024 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2025"&amp;amp;amp;amp;amp;gt; 2025 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2026"&amp;amp;amp;amp;amp;gt; 2026 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2027"&amp;amp;amp;amp;amp;gt; 2027 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2028"&amp;amp;amp;amp;amp;gt; 2028 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2029"&amp;amp;amp;amp;amp;gt; 2029 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;option value="2030"&amp;amp;amp;amp;amp;gt; 2030 &amp;amp;amp;amp;amp;lt;/option&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/select&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;YYYY&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tbody&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/table&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;div style="color: black; padding-bottom: 8px;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/div&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr valign="top"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td align="" id="td_element_label_13"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;b&amp;amp;amp;amp;amp;gt;NIF do Utente:&amp;amp;amp;amp;amp;lt;/b&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: red;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;small&amp;amp;amp;amp;amp;gt;*&amp;amp;amp;amp;amp;lt;/small&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td id="td_element_field_13"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;input class="validate[required,custom[onlyNumber]]" id="element_13" name="element_13" size="30" type="text" value="" /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;div style="color: black; padding-bottom: 8px;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/div&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr valign="top"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td align="" id="td_element_label_14"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;b&amp;amp;amp;amp;amp;gt;Profissão do Utente:&amp;amp;amp;amp;amp;lt;/b&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: red;"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;small&amp;amp;amp;amp;amp;gt;*&amp;amp;amp;amp;amp;lt;/small&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td id="td_element_field_14"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;input class="validate[required]" id="element_14" name="element_14" size="30" type="text" value="" /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;br /&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;div style="color: black; padding-bottom: 8px;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/div&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/td&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/tr&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;tr valign="top"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;td colspan="2"&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;h3 id="element_15" name="element_15" style="border-top: 1px dotted #CCCCCC; font-size: 14px; margin: 14px 0; padding: 10px 0 6px 0; position: static;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;span style="color: black; font-family: Verdana; font-size: x-small;"&amp;amp;amp;amp;amp;gt;IMPORTANTE&amp;amp;amp;amp;amp;lt;/span&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;/h3&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;div style="color: black; padding-bottom: 8px;"&amp;amp;amp;amp;amp;gt; &amp;amp;amp;amp;amp;lt;small&amp;amp;amp;amp;amp;gt;&amp;amp;amp;amp;amp;lt;span style="font-family: Verdana;"&amp;amp;amp;amp;amp;gt;Envie a sua declaração de IRS para geral.associacao@decifrenigma.pt com o fim de validar este formulário. 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