Academic Year Application Form

Personal details

First name *

Last name *

Date of birth *

Place of birth *

Nationality *

Contact details

Email address *

Address *

City *

Postal code *

Country *

Mobile phone number (with international code) *

Telephone number (with international code)

Academic and laboral information

University/Faculty/School *

Current occupation *

Privacy policy

I agree to the treatment of my personal data according to the Italian D.Lgs. 196/2003. *

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