Public Call for Applications for N. 1 Research Fellowship 'Analysis and Development Of

ANNEXA

PUBLIC CALL FOR APPLICATIONS FOR N. 1 RESEARCH FELLOWSHIP "'ANALYSIS AND DEVELOPMENT OF PATTERN RECOGNITION ALGORITHMS" - DEPARTMENT OF ELECTRICAL AND ELECTRONICENGINEERING

APPLICATION FORM
(to be printed or completed in block letters)

To: MAGNIFICO RETTORE

UNIVERSITA’ DI CAGLIARI

VIA UNIVERSITA’ N° 40

09124 CAGLIARI

I, the undersigned
bornat...... on ......
Tax Identification Code**......

REQUESTS

to be admitted tothe public call for applications (DRn. 883 DEL 12.06.2013) for one research fellowship entitled:

“ANALYSIS AND DEVELOPMENT OF PATTERN RECOGNITION ALGORITHMS” - DEPARTMENT OFELECTRICAL AND ELECTRONICENGINEERING

Aware ofthe provisions of Art. 76of Presidential Decree28.12.2000, n. 445on the criminal liabilitythatmay be encounteredinthe case offorgeryandfalse statements,and in accordance withand for the purposesof Presidential Decreen. 445/2000regardingaffidavitsandcertificatesof recognition, under my ownresponsibility, I declare:

Nationality......
Residency (in country of origin) City...... Postcode ………………….
Address ...... ,n °...... Tel ......
E-mail ...... (address to which all communications relatingto the selectionshould be sent , any changesshould be communicatedto the Directoratefor Researchand territory- SectorHuman Resources forresearch)
Degree...... obtained at...... Date...... Mark ………………. Title of Thesis ……………………………………………………………………..
-not tohave heldcontractsin any waywiththe Universityof Cagliarifor a total periodexceeding three years, although not continuous, and including the period ofduration of thisfellowship;

to have beenthe holderof the following contracts: …………………………………………………………………….
- not to receive scholarshipsor grants of any kind for any purposeand to commit togive them upif winner of the present selection.

Please find attachedthe following documents:
graduate certificate in...... mark, university,date of graduation andtitle of the thesis;
(orself-certification (Ref. Presidential Decree28.12.2000, No. 445), relating to the possession of the following)
titles that youconsider appropriatefor the purpose ofselection: ......
(in original or photocopy, together with a declaration in lieuof an affidavit, (Ref. Articles. 19 and 47 ofPresidential Decree No.445/2000), attestingconformity with the original
Curriculum vitae (training and professional)
Listof attached documentsand qualifications
Photocopyof identity document ;

Date______Signature ______
(full signature andlegible)

** Please note: Applicants residing OUT of Italian territory are not requested to fill in Tax Identification Code (Codice Fiscale) field.

Declaration in lieuof certifications
(Art.46,Presidential Decree28 December 2000, n. 445)

I, the undersigned...... bornin (place and nation of birth) ...... on (date of birth) ...... , residing in(complete address of residence) ...... …………………………………………………………………………………………….and domiciled in (complete address of domicile) ......

aware ofthe provisions of Art. 76of Presidential DecreeDecember 28, 2000, n. 445,on the criminal liabilitythatmay be encounteredinthe case offorgeryandfalse statements,in accordance withand for the purposesof Presidential Decreen. 445/2000 andunder my ownresponsibility:

DECLARE
(tick as appropriate)

To be inpossession of a bachelor's degree in ......
achievedwith the mark ______...... at......
with a thesis entitled ………………………………………………………………………………………………………
tobein possession of thefollowing titles whichcan be considered usefulfor the selection:

……………………………………………………………………………………………………………………..………..

to be awarethat the personal datacollected will betreated, even withinformation technology tools,exclusively within the procedurefor which thethis declaration is given(Ref. art.13 of theLegislative Decree 30 June2003, n.196),

Read, confirmedand signed
Place and date _____ /_____/

______
(full legiblesignature)

Declarationin lieu of affidavit
(to be signed in front of anofficerorsent witha photocopyofan identity document)
(Art. 47, Presidential Decree28 December 2000, n. 445)

aware ofthe provisions of Art. 76of Presidential DecreeDecember 28, 2000, n. 445,on the criminal liabilitythatmay be encounteredinthe case offorgeryandfalse statements,within the meaningand for the purposesof Presidential Decreen. 445/2000 andunder his ownresponsibility:

DECLARE
That the following documents attached to the present declarationconform to the original:

1 ______

2 ______

3 ______

4 ______

5 ______

6 ______

Declare to be informedthat the personal datacollected will betreated, even withinformation technology tools,exclusively within the procedurefor which this declaration is given.(Ref. art.13 of theLegislative Decree 30 June2003, n.196).
Read, confirmedand signed.
Place and date ______/ ______/ ______

______

(full legible signature)