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Professional Training course in

WATER HARVESTING FOR 
SOIL AND WATER CONSERVATION
(Taught in English)

Academic year 2020/21
THE UNDERSIGNED
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Tax code |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|		Sex F|__|      M |__|   
Date of birth  |__|__| |__|__| |__|__|__|__| Place of birth|__|__|__|__|__|__|__|__|__|__|__|__|
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Citizenship|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Street address|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|n. |__|__|__|
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Contact (fill only if different from resident address)
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ASK TO BE REGISTERED FOR THE ACADEMIC YEAR 2020/21
to the Professional Training course in
WATER HARVESTING FOR SOIL AND WATER CONSERVATION
•	as an ordinary candidate 
•	as a student of the University of Florence
•	as a PhD of the University of Florence
•	as a candidate from emerging countries
For this purpose, according to the Italian laws on self-certification (artt. 46 – 47 D.P.R. 28 December 2000 n. 445) and informed that whoever provides false information will lose the benefits and incur in penalties for false declaration according to the articles n. 75 and 76, of the cited law, 

DECLARES UNDER HIS/HER OWN RESPONSABILITY 

	To have the following high school diploma: 
_____________________________________________________________________________
High school name ______________________________City____________________________
Zip Code __________ Street address__________________________________________ N. __
School year |__|__|__|__| / |__|__|__|__|with marks |__|__|__| on |__|__|__|;

	To have the following Bachelor’s degree
University _________________________________________________________________ City_______________________________
Zip Code __________ Street address ___________________________________________N. _
School year |__|__|__|__| / |__|__|__|__|with marks |__|__|__| on |__|__|__|;

DECLARES, ALSO
-	to be not enrolled in any course belonging to D.M. 10 September 2010, n. 249.
-	to be aware of the rules and terms provided in the notice
-	to be aware that in the case of confirmation of non-validity of what declared, subject to penal responsibility in case of false declaration, it will result in the automatic exclusion and the consequent inability to enroll

For the exemption of payment of the registration fee, DECLARES, ALSO
To be a student with disabilities, as indicated by the attached certification issued by the competent bodies, with: 
	recognition of handicap pursuant to Article 3, paragraph 1 of Law 5/2/1992, no. 104;
	 recognized disability equal to or greater than 66%.

Attached documents (for all the candidates)
•	Copy of a valid identity document (ID card or passport)
•	High school diploma or Bachelor’s degree (not for students with an Italian degree. The title must be presented in original or certified copy, with official translation into Italian, legalization and “declaration of value at the place” by the Italian diplomatic or consular representation of the country where the document was issued.
•	Certification of English proficiency (minimum level A2);
•	Curriculum vitae et studiorum

To enroll in the Course, it is necessary to complete the enrollment application, using the form available on the page https://www.unifi.it/vp-11839-corsi-di-aggiornamento-professionale.html , in correspondence with the name of the Course, and send it together with a copy of the curriculum vitae and a copy of a valid identity document, in a single file (pdf scan), by e-mail to the following address: didattica@dagri.unifi.it.
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___________________						___________________________
COMMUNICATION AND CIRCULATION OF PERSONAL DATA 

NOOOOO

YES

According to art. 11 of the Regolamento di attuazione del codice di protezione dei dati personali in possesso dell’Università degli Studi di Firenze (Regulation of the protection of personal data in possession of the University of Florence) and being understood that the undersigned has the right to oppose for legitimacy reasons according to art. 7 of the D. L.gs 30/6/2003, n. 196, the undersigned permits communication and circulation of his/her personal data in possession of the University of Florence, to public and private bodies and authorities which will ask those data in order to assist and support  vocational guidance, training and inclusion, in Italy and abroad, of students and graduates: 

(date)								   (signature)
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