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					                                                                                             Enclosure 1
APPLICATION FORM FOR FOREIGN CANDIDATES TO BE FILLED IN TWO COPIES AND SENT ONLY
BY CERTIFIED MAIL (LETTER SENT BY RECORDED DELIVERY WITH ACKNOWLEDGEMENT OF
RECEIPT)
On the envelope it must be written ” Domanda di ammissione ai corsi di dottorato di ricerca”

                                             Al Dirigente della Ripartizione degli Affari generali
                                             Seconda Università degli Studi di Napoli
                                             Piazza Luigi Miraglia – Palazzo Bideri
                                             80138 NAPOLI

             The undersigned _______________________________________________________________
                                                       (surname and name(s))
born        in_______________________________________________________                 (Prov.______________,
Country_______________________________)               the      _____________          and      resident      in
(street)________________________________________________________________________________
town/city     ____________________________________________               Post     Code      _______________
State____________________________________________________telephone                                        home:
________________________________________mobile:___________________________________                           e-
mail: ________________________________________ address for purposes concerning examinations (if
different from above):
______________________________________________________________________________________
Post   Code      __________       town   _________________________________________________                State
________________________________________________________________


                                                    ASKS

to participate to the competitive examination for the admission to the Research Doctorate Program

RESERVED/NON RESERVED (erase the option you do not chose) positions in:
______________________________________________________________________________________
                        (indicate only one Research Doctorate Program )


             The undersigned

                               DECLARES UNDER HIS/HER RESPONSIBILITY

a) to have the _______________________________________________ nationality;
b) to possess the university degree in __________________________________________________, whose
attendance period was of______________ years, issued (date) _____________________ by the University
of ___________________________________________.with the following final grades _________________
(For those holding a degree issued by a foreign university but not declared equivalent to an Italian one, for
the assessment of the equivalency have to specify the date of the Decree of the Rector attesting this
equivalency);
c) to attend the Ph.D. in the way fixed from the Board of examiners and to attend a period of training abroad

if he/she is winner of a grant.

d) to be able to sustain a part of the oral examination in a foreign language indicated for each Ph.D.
e) to communicate promptly any change about residence or domicile.

f)   to   need/or   not   to need    the   following   assistance   during   examinations,    according    to my
handicap:_______________________________________________________________________
g) to be aware that, according to legislative decree 196/2003, the personal data supplied will be used by the

university administration only for institutional reasons.

The publications and qualifications list is enclosed to the application in two copies jointly to Encl.2 and 3.




Date, __________________

                                                            Signature__________________________________
                                                                                                         Enclosure 2
                                                     AFFIDAVIT
                                          (to be filled in two copies)
                                  (artt. 47 e 76 - D.P.R. no. 445 / 28.12.2000)

The undersigned __________________________________________________________,

born ___ / ___ / ______ in          ____________________________________________,

resident in        ________________________________________________,

address _______________________________________________________________,

- aware of legal sanctions in matter of false statement (art. 76 del D.P.R. n. 445/2000);

- according to art. 47 - D.P.R. no. 445/2000:

                  DECLARES UNDER HIS/HER RESPONSIBILITY
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

Date ____________________



                                                                                      Signature
                                                                             (in his/her own handwriting)

                                                                         __________________________




According to art.13 of the legislative decree 196/2003, the personal data supplied will be used by the
University Administration only for institutional reasons.
                                                         Enclosure 3
     AFFIDAVIT CERTIFYING THE COMPLIANCE WITH THE ORIGINAL OF THE
                            ENCLOSED COPIES
                                          (to be filled in two copies)
The undersigned _____________________________________________________________________,

born ___ / ___ / ______ in     _______________________________________________________,

resident in   ___________________________________________________________,

address __________________________________________________________________________,



CONCERNING         TO    THE     APPLICATION        FOR     THE    ADMISSION        TO    THE     Ph.D.   COURSE   IN:

_________________________________________________________________________- 24° CYCLE


- AWARE OF LEGAL SANCTIONS IN MATTER OF FALSE STATEMENT (ART. 76 - D.P.R. NO. 445/2000);


- ACCORDING TO ART. 47 - D.P.R. NO. 445/2000:


DECLARES THAT THE FOLLOWING DOCUMENTS, ENCLOSED TO THIS STATEMENT, ARE IN

COMPLIANCE WITH THE ORIGINAL ONES:

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

________________________________________________________________________________________________

___________________________________________________________________________________________

Date ____________________________


                                                                                      Signature
                                                                             (in his/her own handwriting)


                                                                         __________________________

                         (1)A copy of a valid identity paper has to be enclosed.



According to art.13 of the legislative decree 196/2003, the personal data supplied will be used by the
University Administration only for institutional reasons.

				
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