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Family name*:


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Place of birth *:

Date of birth (gg/mm/aaaa) *:


Passport N.:


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Email *:


Knowledge of Italian language:

Where and how long have you studied Italian:

How have you learnt about the school?:

I have chosen the course*:

 GL GL/2K G1 G1/2 G8 G8/2 GD1 GD2 GD1 - 4 sett GD2 - 4 sett G6 GS2 K K + K Senior class program (2w) Senior class program (4w) D2 D4 D6 D8 S9 IN2 IN3 IN5 Opera1 Opera2 Opera3 Just conversation (2w) Justi conversation (4w)


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To (gg/mm/aaaa):

Registration fee for 1, 2 or 3 weeks: 50€

Registration fee for 4 or more weeks (valid 12 months) 80€

I, declare that accept the Terms&Conditions and I have read all necessary notification in accordance with article 13 of D.Lgs no. 196/2003, especially as regards my rights as conferred to me under the terms of article 7 of D.Lgs no. 196/2003, 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.

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