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Attachment Application The Rector Università degli Studi di Udine

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Attachment Application The Rector Università degli Studi di Udine Powered By Docstoc
					Attachment
Application

                                                                    The Rector
                                                                    Università degli Studi di Udine
                                                                    Servizio affari istituzionali e legali/Ufficio
                                                                    protocollo
                                                                    Via Palladio n. 8 – 33100 UDINE

                                              I THE UNDERSIGNED

Surname ________________________________________________________________________________
(women should give their maiden name)

First name
___________________________________________________________________________________
born in____________________________________________________________ province ______________
on ______________________ (foreign citizens should also give the Country of birth) _________________________________

Tax code                                   nationality_____________________________
resident in (town, street and number)_____________________________________________________
post code    ___________      Province                ______         foreign       country         if       applicable
_____________________________
Telephone _________________________ e-mail _________________________________________

Having read the announcement of a competition for the award of a The doctoral fellowship issued by the
Rectoral Decree n. --------------- dated --------------

                                                HEREBY REQUEST

to participate in the selection and, for this purpose, aware that false declarations are punished penally and
that the University Administration will carry out checks, including random checks, on the truthfulness of the
declarations made by the candidates,

                                                HEREBY DECLARE

under my own responsibility:
   that I am in possession of
-      Italian degree or specialist degree in agreement with the Ministerial Decrees no. 509/1999, no.
270/2004 or degree regulations prior to this date:
obtained at the University of ________________________________________________________________
on (date)       ________________           with mark ___________
-       foreign degree equivalent to Italian degree or specialist degree, which meet the admission
requirements for a doctorate course in the country where they were awarded:
obtained at the University of ________________________________________________________________
on (date)       ________________           with mark ___________


          am an Early Stage Researchers (ESR) according to “The 2012 people programme guide for
applicants” (http://cordis.europa.eu/fp7/find-doc_en.html)
  that, at the time of recruitment (February 28, 2013), I have not resided in Italy for more than 12 months
in the last 3 years:
         at the time of recruitment (February 28, 2013), I have not carried out my main activity (work,
studies, etc) in Italy for more than 12 months in the last 3 years
    that I wish to receive all communications relating to the competition at the address given below, and
undertake to inform the University of any change thereto (complete only if the address is different from residence
) City _______________________________________ street _____________________________________
n. _____ post code ______________ Province ______ country ___________________________________


I the undersigned give my consent for the personal data given to be processed for all purposes connected to
this competition.

I the undersigned acknowledge that:
- the documents and publications relating to the competition shall be returned by hand pursuant to art. 9 of
the competition announcement, 180 days after the publication of the Rectoral Decree approving the
documents, and within the following 30 days.

I the undersigned attach herewith:


          Scientific-professional Curriculum – demonstrating the competences needed to carry out the
         research, dated and signed;
           Publications, certificates, graduation thesis, other documents proving qualification with regard to
         the research project (a list of the publications, certificates and other documents presented must be attached,
         dated and signed: Attachment D );
           Documentation certifying the research carried out at public and/or private bodies with indication
         of the dates and duration;
           Photocopy of a valid identity document.
           Copy of the original degree certificate with a translation in Italian or English languages (only for
         applicants in possess of a foreign academic degree)
           Letters of reference

                 Place and Date                                                        Applicant


    _________________________                                         ____________________________
Attachment
Substitute certification declaration
Art. 46 Presidential Decree
28/12/2000 n. 445


                              SUBSTITUTE CERTIFICATION DECLARATION

I            the         undersigned           (surname          and          name          )
_________________________________________________________
born        in      _______________________________________         (province    __)       on
_______________________________
resident in _______________________ street __________________ ____________________________ n.
____

in accordance with the dispositions set forth in art. 46 of Presidential Decree n. 445 of
28/12/2000 and aware that, pursuant to Articles 75 and 76 of said Decree, in the event of
false declarations, forgery in the deeds or the use of falsehoods, I shall incur the relative penal
sanctions and shall immediately be excluded from the research grant, if awarded.

                                              HEREBY DECLARE

that I have the following academic and/or professional qualifications:

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________



I also attach a photocopy of my personal identity document.



Read, confirmed and signed




Date
Attachment
List of documents and publications


                   I THE UNDERSIGNED ____________________________________
Aware that false declarations are punished penally and that the University Administration will carry out
random checks on the truthfulness of the declarations made by candidates

HEREWITH ATTACH THE DOCUMENTS AND PUBLICATIONS LISTED HEREAFTER, AND DECLARE THAT THE
DOCUMENTS ATTACHED AS COPIES ARE IN CONFORMITY WITH THE ORIGINALS

           1.

           2.

           3.

           4.

           5.


           6.

           7.

           8.


           9.

         10.


         11.

         12.



                   Date                                                                        Applicant
__________________________                                                 _______________________________


EXPLANATORY NOTE: If there are not enough lines, please continue on an attached sheet, indicating the same in the above list.

				
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posted:3/22/2013
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