ANNEX A

To Matera - Basilicata 2019 Foundation
c/o Palazzotto del Casale, via Madonna delle Virtù snc,
75100 Matera (Italy)

SUBJECT: Call for the selection of the Administrative and Financial Manager
Participation application
The undersigned (Surname and Name)______,
born in ______(Prov./State _____),
Country ______on ____/_____/______,
resident in ______(Prov./State _____), Country ______,
on Street/Square ______, no. ___, postal code______,
Phone no. ______, Mobile no. ______,
email address______
HEREBY REQUESTS
to participate in the selection of the Administrative and Financial manager
HEREBY ALSO REQUESTS
that any communications relating to the procedure referred to in this application be sent to the following email address (only to be indicated if different from those previously indicated):
______
HEREBY DECLARES
to have read the Call indicated above and to fully accept its terms;
HEREBY AGREES
to promptly communicate any changes to the addresses indicated for communications;
HEREBY DECLARES
to have been advised, pursuant to art. 13 of Italian Legislative Decree no. 196/2003, as amended, and art. 9 of the Public Notice indicated above, that the personal data provided, even belonging to third parties, will be processed, even using computerized instruments, in accordance with the Legislative Decree cited above, exclusively for the purposes linked to the fulfilment of the procedure for which this declaration is being provided, as well as any activities relating to and arising from the same, in accordance with the applicable legislation and the provisions of the Public Notice indicated above.
Furthermore, for the purposes of participating in the selection procedure pursuant to the aforementioned Public Notice, the undersigned,
being aware of the penalties applicable in cases of false statements and/or the creation or use of false documents, as established by art. 76 of Italian Presidential Decree no. 445/2000, as amended, as well as the loss of any benefits resulting from the provisions issued based on false statements, pursuant to art. 75 of the same Presidential Decree,
HEREBY DECLARES
pursuant to and by effect of articles 46 and 47 of Italian Presidential Decree no. 445/2000, as amended, and under their own responsibility:
  1. be resident in Italy or in another EU state
  2. to be in possession of all civil and political rights;
  3. not to be subject to any definitive or any pending procedures that prevent from establishing or maintaining employment relationships with the Public Administration;
  4. that they are not subject to any prohibitions, pursuant to the current legislation, to enter into contracts with the public administration;
  5. not to be the spouse/cohabiting partner or relative within the second degree of any of the Foundation's employees or any of the subjects holding positions of responsibility, control or administration within the Foundation itself;
  6. to be in possession of the following degree or qualification: A Masters degree in ______obtained from ______City______Address______, postal code______Country______
    on ______with a grade of______;
  7. to have at least 5 years of proven experience in the administrative, financial and accounting management of complex projects for public administrations and/or public or private institutions and organizations and/or public or private companies;
  8. to have a full command of the Italian language and to have a very good knowledge of the English language;
  9. that the data and information contained in this application, in their curriculum vitae, and in the accompanying documentation, is accurate.
The undersigned also
HEREBY DECLARES
be aware that, pursuant to the current legislation, the Foundation may check the veracity of the personal sworn statements made in this application.
Attached documentation:
  1. copy of an identity document belonging to the participant;
  2. curriculum vitae, including the requested references;
  3. motivation letter
(place)______, (date)______
Signature