Attachment A
Call for Admissions
Graduate Schools and Doctoral Programmes, XXXIII cycle, Academic Year 2017/2018
Doctoral programme in EUROPEAN AND INTERNATIONAL LEGAL STUDIES
International Doctoral Programme in collaboration with Regensburg University
(to be completed in block capitals and in a clear and legible manner)
Al Magnifico Rettore
Università degli Studi di Verona
Via dell’Artigliere, 8 – 37129 VERONA
ITALIA
The undersigned
Surname ______Name ______
TAX CODE ______
PLACE OF BIRTH ______
TOWN ______/ COUNTRY ______
DATE OF BIRTH ______/ GENDER / M □ / F □
NATIONALITY ______
RESIDENT IN (Permanent address: Street, Town, Country, Zip code) ______
______
______
Ph.______E-mail______
aware of the penal sanctions, in case of false claims, false qualifications or use of false documents, as detailed in art. 76 of Pres. Decree no.445/2000
DECLARES ON HIS/HER OWN RESPONSIBILITY
□ to have a competence in the Latin language;
□ to have not already obtained the title of “Doctor Philosophie” in another University of the Federal Republic of Germany;
□ to have not been definitively rejected at the PhD final exam for the conferral of the title of “Doctor Philosophie” in another University of the Federal Republic of Germany;
□ to have not already presented, in another University of the Federal Republic of Germany, a doctoral thesis in order to obtain the title of “Doctor Philosophie”;
□ to be not disqualified from the possession of an academic title in accordance with the Gesetz über die Führung akademischer Grade del 7 giugno 1939 (BayBS Erg. Bd. S. 115).
to agree that, with reference to dispositions in Leg. Decree. 30th June 2003 no. 196 “Code for protection of personal data” regarding the protection of people and other subjects with respect to handling of personal data and, in particular, dispositions in art. 1313, personal data provided by the candidate will be held by the Università degli Studi di Verona for its Institutional purposes.
Place and Date : ______Signature ______
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