1 Al Direttore Generale
Stazione Zoologica Anton Dohrn Villa Comunale
80121 Napoli
The undersigned
SURNAME NAME FISCAL CODE
PLACE OF BIRTH
PROVINCE COUNTRY
DATE OF BIRTH SEX M F
CITIZENSHIP
PERMANENT RESIDENCE:
ADDRESS N.
CITY/TOWN PROVINCE
POSTAL CODE COUNTRY
TELEPHONE MOBILE
Please, put a cross if your permanent address coincides with your correspondence address CORRESPONDENCE ADDRESS (IF DIFFERENT):
ADDRESS N.
CITY/TOWN PROVINCE
POSTAL CODE COUNTRY
TELEPHONE MOBILE
Please pay attention to provide the right Correspondence Address. It will be used to transmit all the communications concerning the selection procedure. Candidates must promptly communicate any change in the contact information.
REQUESTS
To be admitted to the following public selection, based on qualification and oral examination, for the assignment of
the research grant n° ……/2016
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In accordance with art.s 46 and 47 of D.P.R. n 445 of December 28
th, 2000, (“Unique text of laws and regulations concerning administrative documentation”)
DECLARES, UNDER HIS/HER OWN RESPONSABILITY
A)
TO HAVE OBTAINED A MASTER’
S DEGREE INACADEMIC YEAR / SESSION / /
GRADE / WITH
HONOURS THESIS TITLE
SUPERVISOR UNIVERSITY
FACULTY
B)
TO HAVE OBTAINED AP
HD
DEGREE IN:
ACADEMIC YEAR / SESSION / /
THESIS TITLE
COORDINATOR UNIVERSITY
C)
TO BE-
HAVE BEEN HOLDER OF RESEARCH GRANT ON :FROM / / TO / /
UNIVERSITY / INSTITUTION
SCIENTIFIC DISCIPLINARY SECTOR
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D) D1:
THAT THE COPIES OF THE FOLLOWING PUBBLICATIONS ARE IDENTICAL TO THE ORIGINAL ONES:
D2:
THAT THE COPIES OF THE FOLLOWING QUALIFICATIONS (PHD, MASTER ETC) ARE IDENTICAL TO THE ORIGINAL ONES:E)
TO BE AN EMPLOYEE OF THE FOLLOWING PUBLIC ADMINISTRATION:
F) to be fluent in English, written and spoken;
G) to not exceed a maximum period of twelve years, even not continuous, considering the total duration of the contracts referred to in art. 22 (research grants) and art. 24 (fixed-term Researchers) of Law 240 of December 30th, 2010, also considering contracts with other universities and/or with other institutions listed in the above paragraph C), and the duration of the contract referred to in this selection announcement;
H) not to be permanent staff at universities, research and experimentation institutions and government agencies, at the National Agency for New Technologies, Energy and Sustainable Economic Development (ENEA) and the Italian Space Agency (ASI), as well as institutions whose Scientific Specialization Degree has been recognized as equivalent to the title of Doctor of research in accordance with art. 74, fourth
paragraph, of D.P.R.(Italian law) of July 11th, 1980;
I) to communicate immediately, through registered letter with signed return receipt, any change of residence or contact information occurring after the presentation of the application form;
J) to have read carefully the norms contained in the call for application;
K) to be aware that the Stazione Zoologica administration does not have any responsibility for missed communications due to wrong information concerning permanent address or contacts, or due to belated or missing notice about variation of the above-mentioned addresses, nor of any postal or telegraphic errors due to third party or to unforeseen and fortuitous events;
L) to be aware of the penal sanction in case of false statement, in accordance with Art. 76 of the DPR (Italian law) 445 of December 28th, 2000;
M) to be aware of art. 75 of DPR 445 of December 28th, 2000 about the loss of benefits related to the assignment if, after a check, the Administration discovers the untruthfulness of the aforesaid declarations;
N) to allow the Stazione Zoologica to use collected personal data for selection purposes and for the research grant assignment procedure, in accordance with the D. LGS (Italian Law) n.196, June 30th, 2003 “Legislation concerning the protection of personal data”;
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O)
TO ATTACH THE FOLLOWING DOCUMENTS:
1. Scientific and professional Curriculum Vitae;2. List of the scientific publications, detailed description according to the international rules, including all authors;
3. A copy of the above mentioned publications;
4. A copy of the diplomas and of any further document in support of the CV;
5. Photocopy of a current ID card.
DATE / / SIGNATURE
WARNING:
Application forms not signed, lacking in personal data, statements, documentation, without the exact title of the competition of interest and application forms forwarded after the deadline will not be considered.
The documents must reach the Stazione Zoologica at the latest the morning (12 AM) of the date of the deadline.
The envelope has to be sent to:
Al Direttore Generale
Stazione Zoologica Anton Dohrn Villa Comunale
80121 Napoli