DECLARATION OF ACCEPTANCE

AWARD FOR RESEARCH ACTIVITY

(to be written on plain paper)

Having regard to Art. 46 and 47 of no. 445 of the Italian Presidential Decree dated 2000 and aware of the penalties in the event of false declarations regarding educational background and use of false documents, with reference to Art. 76 of the Italian Presidential Decree regarding the award of research fellowship at ______issued by decree of Registry no______Reference no ______dated ______,

the undersigned ______

born in ______on ______

residing at______

postcode ______

HEREBY DECLARES

-to accept, without reserve and on conditions laid down in the selection announcement and the "Regulations Governing Research Fellowships," the fellowship conferred to him/her for carrying out research activity as indicted by the Department/Center's provisions in the document with reference no. ______dated ______;

- to be aware that this research fellowship cannot be combined with other fellowships of any other kind, with the exception of those awarded by national or foreign institutes to integrate, with periods abroad, research activities that are the subject of the current assignment.

- not to be married or have family or kinship relationships up to the fourth degree with lecturers or researchers working at the Department elected as "Research Base", or with Rector, or Director General, or a member of the University Board of Governors

- to supply the Head of Department with a report on the research activity conducted and the results obtained upon completion of the scholarship, and which has been prior approved by the Research Project Supervisor.

- to have read the University of Padova's Code of Ethics and Code of Conduct;

-to undertake to communicate to appropriate offices any changes related to their personal details, facts, and/or any declared information.

Place , date

SIGNATURE

______

It is hereby certified that the declarant, identified through no. ………. of …… and with prior warning of the criminal liability which may incur pursuant to Art. 76 of Law no. 445 of Italian Presidential Decree dated 28 December 2000 in case of perjury and forgery, has proclaimed and signed his/her declaration in my presence.

Padova,______

THE DIRECTOR OR OFFICIAL RESPONSIBLE

Pursuant to Art. 38 of Law no. 445 of the Italian Presidential Decree dated December 28, 2000 and s.m.i, the declaration has been signed by the person concerned in the presence of the Head of Department or the employee responsible, or signed and sent to the competent office, along with a non-notarized photocopy of the declarant's identity document, by fax at no. …….

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