First name*:
Family name*:
Gender*:
MF
Place of birth *:
Date of birth (dd/mm/yy) *:
Nationality:
Passport N.:
Address:
Telephone home:
Mobile:
Fax:
Email*:
Job:
studentemployerteacherentrepreneurmanagertraderartistcraftsmanclergy memberhousewiferetiredunemployed
Knowledge of Italian language:
nonelittlemediumgoodvery good
Where and how long have you studied Italian:
How have you learnt about the school?:
internetadvertisements on newspaper-magazinefriendsitalian cultural instituteagenciesuniversitieselse
I have chosen the course*:
GLGL/2KG8plusG8plus/2G8G8/2GD2GD2/4GD5GD10G4GS2K2K4SC2SC4JC2JC4D2D4D6
Period:
From*:
To*:
I, declare that accept the Terms&Conditions and I have read all necessary notification in accordance with Regolamentation (UE) 2016/679 especially as regards my rights as conferred to me under the terms of GDPR, and further recognise that the information which I have transferred may be of a sensitive nature, and give my consent to the use and storage of such data for the purposes set out in the information note.
