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APPLICATION FORM FOR ADMISSION TESTS

TO THE 1ST AND 2ND CYCLE ACADEMIC DEGREES

Name
Surname
Born in
Born in
on(dd/mm/yyyy)
Passport number

APPLIES TO TAKE PART TO THE ADMISSIONS TESTS FOR THE ACADEMIC DEGREE IN

Jazz and Popular Music 1st cycle degree
Jazz and Popular Music 2nd cycle degree
Composition and Film Scoring 1st cycle degree
Electronics 1st cycle degree

BEING AWARE OF RESPONSIBILITIES AND PENALTIES ESTABLISHED BY LAW FOR FALSE STATEMENTS, UNDER HIS/HER OWN PERSONAL

RESPONSIBILTY (ARTT. 48-­‐76 D.P.R. 28/12/2000, N°. 445)


DECLARES

to be a citizen of:(Nation)
Home Address(street/road, avenue, etc.)
Number
Town
ZIP CODE
Nation
Phone
Mobile
Italian mobile
Email
Italian Address(street/road, avenue, etc.)
Number
Town
ZIP CODE
What’s the main reason which lead you to submit an application for the degree in Saint Louis?*
Others
0 /

FOR THE MUSIC KNOWLEDGE, SKILL AND COMPETENCE, PLEASE SPECIFY:

instrument/vocals
years of study
in the Music Instituteals
with the educators
private lessons with the educators
Single Line Text

EDUCATIONAL QUALIFICATION:

1. Degree in
Earned in the University
With mark
2. Registered to a Bachelor’s/undergraduate Course
(without obtaining the final degree) in the University
Years of attendance
Number of gained credits:
3. High School/Secondary School Diploma in
earned in the year:
in the School
with the mark
4. Registered to a high school/secondary school diploma in
in the School
Last attendance year
Other professional qualifications
Other study qualifications

THE UNDERSIGNED AUTHORIZES THE PERSONAL DATA PROCESSING IN COMPLIANCE WITH THE CURRENT RULES ON PRIVACY (SEE BELOW).


DOCUMENTS TO ATTACH

1) copy of a valid identity document
Upload
2) copy of the educational qualifications*
Upload

ADVISORY NOTE UNDER THE ITALIAN PERSONAL DATA PROTECTION CODE.

(LEGISLATIVE DECREE 196 OF 30TH JUNE 2003)

The Legislative Decree 196 of 30th June 2003 (Italian Personal Data Protection Code) provides for the defence of people and other subjects in matters of personal data treatment. According to said decree, such treatment will be shaped on principles of righteousness, legitimacy, transparency and safeguard of your rights and privacy. Therefore, according to article 13 of the legislative decree 196/2003, we provide you the following information: 

1.The data you are supplying will be dealt with for the purposes provided for the Communitarian Rules of the European Social Fund
 
2. The data treatment will be carried on by means of recording in computerized databases 

3. The data will not be communicated to third parties, apart from the institutional ones provided for the sector legislation, and will not be spread for commercial uses or for other purposes than the ones provided for the legislation. 

4. Holder of the treatment is Saint Louis Music Center srl 

5. The individuals in charge are the operators of the Bodies supplying the training in charge of the data gathering and recording. 

6. You’ll be able to exercise your right on the treatment holder at any stage, according to article 7 of the Legislative Decree 196/2003.



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