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FICHA DE APTID&#xc3;O
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(
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)
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SERVI&#xc7;O DE
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Servi&#xe7;o
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SERVI&#xc7;O DE
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DESIGNA&#xc7;&#xc3;O:
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Trabalhador
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NOME:
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DATA DE NASCIMENTO:
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NACIONALIDADE:
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N&#xda;MERO
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CATEGORIA PROFISSIONAL:
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FUNCAO PROPOSTA:
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DATA DE ADMISS&#xc3;O:
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LOCAL DE TRABALHO:
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DATA DE ADMISS&#xc3;O NA
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Observa&#xe7;&#xf5;es
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Exame M&#xe9;dico
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TIPO
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ADMISS&#xc3;O
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PERI&#xd3;DICO
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OCASIONAL
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AP&#xd3;S DOENCA
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AP&#xd3;S ACIDENTE
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&#x2750;
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A PEDIDO DO TRABALHADOR
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A PEDIDO DO SERVI&#xc7;O
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POR MUDANCA DE FUN&#xc7;&#xc3;O
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POR ALTERA&#xc7;&#xc3;O DAS
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OUTRO
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ESPECIFIQUE:
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RESULTADO
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APTO
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APTO CONDICIONALMENTE
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font-family="ZapfDingbats">
&#x2713;
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<fo:block font-size="8pt"
space-before="0.1cm" margin-left="0.2cm">
<fo:inline
font-family="ZapfDingbats">
&#x2750;
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INAPTO TEMPORARIAMENTE
</fo:block>
<xsl:if
test="exame-medico/resultado/inapto-temporariamente='y'">
<fo:block font-size="8pt"
space-before="-10pt" margin-left="0.22cm"
font-family="ZapfDingbats">
&#x2713;
</fo:block>
</xsl:if>
<fo:block font-size="8pt"
space-before="0.1cm" margin-left="0.2cm">
<fo:inline
font-family="ZapfDingbats">
&#x2750;
</fo:inline>
INAPTO DEFINITIVAMENTE
</fo:block>
<xsl:if
test="exame-medico/resultado/inapto-definitivamente='y'">
<fo:block font-size="8pt"
space-before="-10pt" margin-left="0.22cm"
font-family="ZapfDingbats">
&#x2713;
</fo:block>
</xsl:if>
<fo:block font-size="8pt"
space-before="0.1cm" margin-left="0.2cm">
</fo:block>
<fo:block font-size="8pt"
space-before="0.1cm" margin-left="0.2cm">
OUTRAS FUN&#xc7;&#xd5;ES QUE
PODE DESEMPENHAR
</fo:block>
<fo:block font-size="8pt"
space-before="0.1cm" margin-left="1.2cm">
1
<xsl:value-of
select="exame-medico/resultado/outras_funcoes_1" />
</fo:block>
<fo:block font-size="8pt"
space-before="0.1cm" margin-left="1.2cm">
2
<xsl:value-of
select="exame-medico/resultado/outras_funcoes_2" />
</fo:block>
<fo:block font-size="8pt"
space-before="0.1cm" margin-left="1.2cm">
3
<xsl:value-of
select="exame-medico/resultado/outras_funcoes_3" />
</fo:block>
<fo:block font-size="8pt"
space-before="0.1cm" margin-left="1.2cm">
4
<xsl:value-of
select="exame-medico/resultado/outras_funcoes_4" />
</fo:block>
<fo:block font-size="8pt"
space-before="0.1cm" margin-left="0.2cm">
&#160;
</fo:block>
</fo:table-cell>
</fo:table-row>
</fo:table-body>
</fo:table>
<fo:table table-layout="fixed" space-before="5mm"
border-color="black" border-style="solid" border-width="medium">
<fo:table-column
column-width="proportional-column-width(50)" />
<fo:table-column
column-width="proportional-column-width(50)" />
<fo:table-body>
<fo:table-row>
<fo:table-cell
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border-bottom-width="thin" number-columns-spanned="2">
<fo:block font-size="8pt"
space-before="0.3cm" space-after="0.3cm" margin-left="0.2cm"
font-weight="bold">
Outras Recomenda&#xe7;&#xf5;es
</fo:block>
</fo:table-cell>
</fo:table-row>
<fo:table-row>
<fo:table-cell
number-columns-spanned="2">
<fo:block font-size="8pt"
space-before="0.1cm" margin-left="0.2cm">
PR&#xd3;XIMO EXAME:
<xsl:value-of
select="proximo-exame" />
</fo:block>
<fo:block font-size="8pt"
space-before="0.1cm" margin-left="0.2cm">
<xsl:value-of
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</fo:block>
</fo:table-cell>
</fo:table-row>
</fo:table-body>
</fo:table>
<fo:table table-layout="fixed" space-before="5mm"
border-color="black" border-style="solid" border-width="medium">
<fo:table-column
column-width="proportional-column-width(50)" />
<fo:table-column
column-width="proportional-column-width(50)" />
<fo:table-body>
<fo:table-row>
<fo:table-cell
number-columns-spanned="1">
<fo:block font-size="8pt"
space-before="0.2cm" margin-left="0.2cm">
M&#xc9;DICO DO TRABALHO:
<xsl:value-of
select="medico/nome" />
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</fo:table-cell>
<fo:table-cell
number-columns-spanned="1">
<fo:block font-size="8pt"
space-before="0.2cm" margin-left="0.2cm">
C.P.
<xsl:value-of
select="medico/cedula" />
</fo:block>
</fo:table-cell>
</fo:table-row>
<fo:table-row>
<fo:table-cell
number-columns-spanned="2">
<fo:block font-size="8pt"
space-before="0.3cm" margin-left="0.2cm">
ASSINATURA
_____________________________________________________________________________________________
</fo:block>
<fo:block font-size="8pt"
space-before="0.3cm" margin-left="0.2cm">
TOMEI CONHECIMENTO
___________________________________________________________________
DATA: ___/___/______
</fo:block>
<fo:block font-size="8pt"
space-before="0.1cm" margin-left="5.2cm">
O RESPONS&#xc1;VEL DOS RECURSOS
HUMANOS
</fo:block>
</fo:table-cell>
</fo:table-row>
</fo:table-body>
</fo:table>
</fo:flow>
</fo:page-sequence>
</fo:root>
</xsl:template>
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