RELATIONAL DESIGN. Single Course Application Form 2016/2017. ABADIR Academy. Via Giacomo Leopardi 8. S. Agata Li Battiat
RELATIONAL DESIGN Single Course Application Form 2016/2017 ABADIR Academy
Via Giacomo Leopardi 8 S. Agata Li Battiati 95030 Catania, Italy
The Undersigned _____________________________________ Date of Birth _____________________ Country of Birth ___________________________ Nationality __________________________________ Passport Number ___________________________ Passport Issue Date _________________________ Passport Expiry Date ___________________ Country of Ordinary Residence ______________________ Home Address _______________________________________________________________________ Phone ___________________________ Email _____________________________________________
HEREBY REQUESTS to apply for the following single course of the Master Relational Design: ______________________________________________________________________________________ (insert course name)
For this purpose, the Undersigned declares on his/her responsibility:
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To pay the subscription fee of €280,00 via bank transfer. Bank account details: Account name: R.AR.A. SRL (Ente Gestore Accademia Abadir) IBAN IT89A0503684230CC0401262549 BIC/SWIFT: POPRIT31040 To enclose a copy of the passport or other ID (Identity Document )
Date
Signature
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Information regarding the processing of personal data (D.L. n. 196 ofl 30/06/2003): Candidates’ personal data will be kept and used only for didactic and administrative purpose, with the utmost respect to the right to privacy.
