APPLICATION Form for BIP UniCA Italian language+culture2026

APPLICATION Form for BIP UniCA Italian language+culture2026

APPLICATION Form for BIP UniCA Italian language+culture2026

APPLICATION Form for BIP UniCA Italian language+culture2026

(To fill the form please use only English alphabet letters with no accents). Use all your names and surnames exactly as they are write in your passport/id
International Prefix
Home Number or emergency contact
If you require any special assistance as a consequence of condition stated above, please outline there

MEDICAL INSURANCE FOOD INTOLLERANCE and SPECIAL NEEDS

If you require any special assistance as a consequence of condition stated above, please outline there
If you require any special assistance as a consequence of condition stated above, please outline there
If you require any special assistance as a consequence of condition stated above, please outline

LANGUAGE COMPETENCE

Privacy Statement Confirmation

I confirm that my personal data will be processed by the host university in accordance with Regulation (EU) 2016/679 (General Data Protection Regulation – GDPR) and applicable national data protection legislation.
I am aware that during the event video recordings and photographs may be taken. By participating in the event, I consent to the recording and the use of my image in photographs, videos, and other media for promotional, communication, and documentation purposes by the organizers.
Invio