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Università degli Studi di Torino

Centro Linguistico di Ateneo
CLA – UNITO /

ENROLMENT FORM

Last name / First name
Nationality / Date of birth
Place of birth (city, town) / Country
IF YOU ARE TEMPORARILY IN ITALY, PLEASE INDICATE THE ESTIMATED PERIOD OF STAY.
Less than 6 months / More than 6 months
We remind you that if you are staying more than 6 months you are requested Codice Fiscale (fiscal position code). Please see below.
DOMICILE
Street/Road / No. / City/Town
CAP/ZipCode / County / Country
PRESENT PLACE OF RESIDENCE
Street/Road / No. / City/Town
CAP/ZipCode / County / Country
*Tel.: / *Mobile phone:
(please, include the international dialling code) / (please, include the international dialling code)
**Codice fiscale / *E-mail:

* You must fill all the fields marked by an asterisk.

** A Codice Fiscale is needed for the attendance of all courses. It is a kind of Individual Taxpayer Identification Number (ITIN) which will enable the University to emit a receipt for the course you have paid for. For more information contact the local agency for the Italian Ministry of Finance.

I would like to enrol in the following course

Name / Hours / Start date / - / End date
-

CLA-UNITO retains the right to alter timetables, should circumstances beyond our control render it necessary

Turin,
Signature

TERMS of PAYMENT

Before paying, Please check that you have received confirmation that the course will be activated

Please note that payment can only be made by bank transfer following the instructions provided by the CLA-UNITO Course Secretary. A copy of the Bank Transfer should be sent via fax (+390116703766) or via e-mail () by two days before the beginning of the course, at the latest. The fee cannot be refunded

VIA SANT’OTTAVIO, 20 - 10124 TORINO

tel. +39 (0)11.670.3378 - fax +39 (0)11.670.3766

www.cla.unito.it