application form

SUMMER SCHOOL IN TRANSNATIONAL COMMERCIAL AGREEMENTS,
LITIGATION AND ARBITRATION
VICENZA 23-27 MAY 2016
I undersigned _____________________________ ______________________________
(Surname)
M
(Name)
F
;
(sex)
hereby apply for admission to the course in Summer School in “Transnational Commercial Agreements,
Litigation and Arbitration”, which will be held in Vicenza (Italy) from the 23rd to the 27th of May 2016.
I hereby certify

that I was born in: (City) __________________________________, (State) ______________________,
on (DD/MM/YYYY) ___/___/_____; citizenship: __________________________;
 that I am currently resident in:
(City) ______________________________________________, (State) ___________________________,
(Street) ________________________________________________, n.__________, (ZIP code) __________;
Tel. N° (optional): __________________________; Cell. Phone N° (optional) ________________________;
E-Mail address: _________________________________________________________________________.

that my Tax ID/VAT No. (C.F./P.I.) is ____________________________________________________
 I understand that the tuition fee for the participation is 350 € + VAT, which shell be paid prior to May
20th, 2016 to the benefit of:
FONDAZIONE STUDI UNIVERSITARI DI VICENZA,
Bank: Banca Popolare di Vicenza
IBAN Number: IT15R0572811810010570835023
BIC Code: BPVIIT21010
SWIFT Code: BPVIIT22XXX
(Applicant’s Signature)
(Date) _________________
______________________________
Privacy notice in accordance with Italian Legislative Decree 30 June 2003, n. 196
Data provided by applicants may be subject to processing only for purposes strictly connected to the the
management of the course. Data processing may take place by means of physical, mechanical and
computerized treatments. Interested subjects shall be granted all rights provided by Art. 7 of the Legislative
Decree n. 196/2003. The subject responsible for data processing is: Fondazione Studi Universitari di Vicenza,
Stradella San Nicola n° 3, 36100 Vicenza (Italy).
By means of the signature below, the undersigned authorizes the personal data treatment within the limits
mentioned above.
(Applicant’s Signature)
(Date) _________________
______________________________
Please Note:
This Application must be submitted not later than May 20th, 2016, duly filled-in, signed by the applicant. The Application can be
scanned in PDF format and submitted via email with attachments to: [email protected]