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Student Application Form European Master of Science in Health and Physical Activity

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European Master of Science in Health & Physical Activity – Piazza Lauro De Bosis 6, 00135 Rome, Italy Tel +39.06.367.33.380 / Fax +39.06.326.50.767 / email: european.master@uniroma4.it

Student Application Form

European Master of Science in Health and Physical Activity

STUDENT’S PERSONAL DATA

First name

Surname

Gender

Date of birth

(dd/mm/yyyy)

Place of birth

(City, Country)

Nationality

Address

Zip City Country

Mobile Phone

(+Country Code - Area Code - Number)

E-mail

Skype user

(used for the interview)

BACHELOR DEGREE

University (mandatory)

Address (also Zip, Country) (mandatory)

Area, Topic (mandatory)

Final Mark (mandatory)

Maximal mark (mandatory)

Date of achievement (mandatory

(2)

European Master of Science in Health & Physical Activity – Piazza Lauro De Bosis 6, 00135 Rome, Italy Tel +39.06.367.33.380 / Fax +39.06.326.50.767 / email: european.master@uniroma4.it

SECONDARY SCHOOL INFORMATION

Secondary School (mandatory) Address (also Zip, Country) (mandatory) Area, Topic (mandatory) Final Mark (mandatory) Maximal mark (mandatory) Date of achievement (mandatory)

SHORT INFORMATION NOTICE PURSUANT TO ART. 13 AND 14 OF REGULATIONS (EU) 2016/679 (GENERAL DATA PROTECTION REGULATIONS - GDPR)

This notice provides main information on personal data processing by the Università degli Studi di Roma “Foro Italico”

(“University”). For further information, we invite interested persons to read the whole information notice on personal data processing published at the following link : http://www.uniroma4.it/?q=taxonomy/term/263

All personal data provided to the University shall be processed, in automated and/or manual manner, with methods and tools aimed at ensuring the best security and confidentiality and protection, in contexts that do not violate personal dignity and only for the achievement and handling of mentioned purposes.

Provision of personal data for the purposes referred to in points a), b), c), d), e), f) of the whole information notice, is necessary and mandatory to perform the mentioned purposes. Provision of personal data for the purposes referred to in point g) of the above mentioned information notice is optional.

Collected data are stored safely and in a protected way according to filing obligations imposed by applicable legislation.

Pursuant to art.15-22 of GDPR, Data Subjects can gain access to their data at any time and correct any information that is inaccurate or incomplete or have it deleted. They may lodge a complaint with the Data Protections Authority

Data Controller is Università degli Studi di Roma “Foro Italico” – Piazza Lauro de Bosis, 15 – 00135 ROMA – privacy@uniroma4.it – rettorato@pec.uniroma.it. The University has appointed Cristina Giuli Bicescu as Data Protection Officer, who can be contacted at the following e-mail: dpo@uniroma4.it pec: privacy.uniroma4@pec.it

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