Fill out the application form with all your personal details

First name*:

Family name*:

Gender*:

MF


Place of birth *:

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

Nationality:

Passport N.:

Address:

Telephone home:

Mobile:

Fax:

Email *:

Job:

Knowledge of Italian language:

Where and how long have you studied Italian:

How have you learnt about the school?:

I have chosen the course*:

GLGL/2KG1G1/2G8G8/2GD1GD2GD1 - 4 settGD2 - 4 settG6GS2KK + KSenior class program (2w)Senior class program (4w)D2D4D6D8S9IN2IN3IN5Opera1Opera2Opera3Just conversation (2w)Justi conversation (4w)


Period:

From (gg/mm/aaaa):

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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