I-Università-Iuav-di-Venezia

							Attachment n. 2 (integral part of the Announcement of Comparative Evaluation for Admission to the IUAV School of
Doctorate Studies for the academic year 2009/10)

FACSIMILE OF THE REQUEST FOR ADMISSION AND DECLARATION OF CITIZENSHIP, QUALIFICATIONS AND
PLACE OF RESIDENCE IN ACCORDANCE WITH DPR OF 28.12.2000 N.445 ARTICLES 19 AND 47

To the Chancellor of the University IUAV of Venice
Università IUAV di Venezia
Archivio Generale d’Ateneo
Santa Croce 191
30135 Venezia
Italy

I, the undersigned___________________________________

National Insurance Number or Tax Code_____________________________________

Born in (place of birth) _________________________________________ Country of birth_________

Date of birth_________________________________

City of residence___________________________________ Province of Italy or foreign country______________

Postcode / ZIP_________________

Street name and number______________________________________________________________________________

Address for correspondence relating to the comparative evaluation:

City__________________________________________ Province of Italy or foreign country ______________

CAP_________________

Street name and number_____________________________________________________________________________

Phone numbers ______________________________________________ e-mail_________________________________

 having read the announcement for the comparative evaluation for admission to the research doctorate courses for the
academic year 2009/10 and aware that should false or misleading information be given in the present declaration, penal
sanctions will be applied as specified in the DPR of 28 December 2000 n.445, Article 76;
 having acknowledged that the data contained in the present declaration will be used only for the purposes inherent to the
institutional tasks of the administrations involved in the procedure as specified in the legislative decree n. 196/2003,




request to participate in the comparative evaluation to be admitted to the IUAV School of Doctorate Studies on the research
doctorate course in:

__________________________________________________________________________________________________

I hereby declare:

a) to be a citizen of _______________________________________________________________________________;

b) that I have a degree (awarded after attending a course initiated prior to the issue of Ministerial Decree 3.11.1999 n. 509,
modified by the Ministerial Decree.270/2004) in:

__________________________________________________________________________________________________

and to have been conferred the degree on_________________________________ with the result ____/___________

at the University of _________________________________________________________________________________

or a degree + 2-year specialized graduate course in:


                                                               1
__________________________________________________________________________________________________

and to have been conferred the degree on_________________________________ with the result ____/___________

at the University of _________________________________________________________________________________

(or indicate the equivalent qualification conferred at a foreign university as well as the measures taken for it to be declared
equivalent)

c) to undertake, should I be admitted to the School, to attend the doctorate course in the manner established by the Board of
Lecturers;

d) to inform the IUAV as soon as possible should I change my place of residence or contact address.

As indicated in Article 3, Paragraphs 2, 3, and 4 of the present Announcement, I enclose the following documents::

1)

2)

3)

4)

5)

6)



Date ___________________________                             Signature ____________________________________________
                                                             (failure to sign and date this document will render it null and void)




     AS INDICATED IN ARTICLE 1, PARAGRAPH 2 OF THE PRESENT ANNOUNCEMENT:

      A maximum of 2 extra postgraduate students may be admitted to each course, provided they appear in the list of merit
      for each course, and according to the order in which they are listed. The extra students admitted must be either:
     - of foreign nationality and beneficiaries of a scholarship awarded by the Minister of Foreign Affairs or a scholarship
          with any other title;
     - research fellowship holders without a scholarship provided that the course attended deals with the same area of
          scientific discipline for which their research fellowship applies. At the end of the course, the extra doctorate students
          admitted who hold research fellowships are expected to present a different research thesis from the report carried
          out at the conclusion of the fellowship-related activities.

I, the undersigned
 ________________________________________________________________________________________
Born in (place of birth) ____________________________on (date of birth) _____________________________


Request to be registered on the course :
    in excess number as a beneficiary of an MAE scholarship or other scholarship;
    in excess number as the holder of a research fellowship without a scholarship.




Date ___________________________                             Signature ____________________________________________




                                                                 2
Attachment n. 3 (integral part of the Announcement of Comparative Evaluation for Admission to the IUAV School of
Doctorate Studies for the academic year 2009/10)

    To the Chancellor of the University IUAV of Venice
    Università IUAV di Venezia
    S. Croce 191 – Venezia
    Italy

   REQUEST FOR ADMISSION TO THE IUAV SCHOOL OF DOCTORATE STUDIES
   (for course registration for students with IUAV scholarships)
   DOCTORATE COURSE IN:

   “…………………………………………………..………………………………………………………………….…”                                                            Academic
   year 2009/10

   I, the undersigned
    ………………………………………………………………….……………………………………………..…….
   Born in (place of birth) ……………………..………...……….. on (date of birth) ………………………………………….

                                                           request
   to be registered with the IUAV School of Doctorate Studies – doctorate course in:
   “…………………………………………………………………….………..............................................................”Academic
   year.2009/10.

   aware that should false or misleading information be given in the present declaration, penal sanctions will be applied as
   specified in the DPR of 28 December 2000 n.445

                                                           I declare
   that I am not registered with other university courses,
   that I have not previously made use of other scholarships for doctorate studies;

                                                       and also declare
                              (tick the box only if you are an employee of the public sector)
    to be a public sector employee

For the monthly payment of the scholarship

                                                         I choose
    direct payment

    payment to current account (indicate details of bank account or post office account)


   Date __________________


                                                                       Signature
       ___________________________________




                                                             3
Attachment n. 4 (integral part of the Announcement of Comparative Evaluation for Admission to the IUAV School of
Doctorate Studies for the academic year 2009/10)

To the Chancellor of the University IUAV of Venice
Università IUAV di Venezia
S. Croce 191 – Venezia
Italy

    REQUEST FOR ADMISSION TO THE IUAV SCHOOL OF DOCTORATE STUDIES
    (for course registration for students without IUAV scholarships)
    DOCTORATE COURSE IN:

    “…………………………………………………..………………………………………………………………….…”                                                      Academic
    year 2009/10

    I, the undersigned
     ………………………………………………………………….……………………………………………..…….
    Born in (place of birth) ……………………..………...……….. on (date of birth) ………………………………………….

                                                            request
    to be registered with the IUAV School of Doctorate Studies – doctorate course in:
    “…………………………………………………………………….………..............................................................”Academic
    year.2009/10.

                                 (tick the box only if you are in the position indicated)
     in excess number as a beneficiary of an MAE scholarship or other scholarship;
     in excess number as the holder of a research fellowship without a scholarship.

    and, aware that should false or misleading information be given in the present declaration, penal sanctions will be
    applied as specified in the DPR of 28 December 2000 n.445 Article 76,

                                                          declare
that I am not registered on other university courses.

Date __________________
                                                                                       Signature
                                                                                 ___________________________________




                                                              4
Attachment n.5 (integral part of the Announcement of Comparative Evaluation for Admission to the IUAV School of
Doctorate Studies for the academic year 2009/10)


                                                     DECLARATION
                         given in accordance with the DPR of 28.12.2000 n.445 Articles19 and 47

SOCIAL SECURITY STATUS

I am registered with separate INPS scheme (gestione separata                         YES             NO
INPS)

I am registered with another compulsory social security scheme
(if YES, specify which:………………………………………….)                                          YES(A)          NO(B)

I have a direct pension scheme                                                       YES             NO


    (A) Subject to contribution scheme at 17%
    (B) Subject to contribution scheme at 25.72%

for those registered with an IVA (VAT) number:

I am entitled to compensation at                                       2%          4%           2% e 4%

I am registered with a social security scheme in which I must
also contribute for co.co.co (ongoing and coordinated                              YES              NO
collaboration)
(provide the relevant regulations)


Should my social security status change, I, the undersigned, will inform the IUAV as soon as possible.


Date……………………….

                                                                                Signature

                                                        _____________________________________________




                                                             5