ANNEX C
SELF-CERTIFICATION
ART. 46 DEL D.P.R. 28/12/2000 N. 445 Hereinafter, the undersigned:
Family Name First Name
Italian ID n°
born in (city, country): Birthdate:
Having read and understood the contents of the Call for application to the PhD program of the University of Rome “Foro Italico,” 37° cycle, a. a. 2021/2022
Aware that any false statement is punished by Italian Law;
DECLARES:
|_| to be eligible for receiving the PhD fellowship OR
|_| not to be eligible for receiving the PhD fellowship
The letters of reference are written by the two following university scholars or non-university experts in the field (NOTE: for the format of these letters, deadline etc, please see
“Instructions for preparing the letters of reference”)
1)………
………
2)
………
………
FURTHERMORE, DECLARES THAT THE FOLLOWING IS TRUE:
Additional non-mandatory Qualifications earned:
Master in ………....
Issued by the University ………….……… ………..
date of the degree …./..../…..
Post-graduate Programs in:………...
……….
Issued by the University………...
date of the additional degrees …./.../…..
Other PhD degree in: ……….
………...
Issued by the University ………...
date …./.../…..
Research fellowships, positions, or appointments held within university or non-university research institutions
Institution: ………
from ……….. to ………..
Institution……… ……….…
from ……….. to ………..
Signature: ……….……...
Residence or Town: ...
date …./.../…….
Candidates are informed that the data provided through the participation requests and strictly necessary for the fulfillment of the obligations deriving from this announcement, will be processed by the University of Rome "Foro Italico" as Owner, in a lawful and second correctness for the purposes indicated within the notice itself and for the possible establishment of an employment relationship, in relation to the provisions of art. 9 of the notice, in accordance with the provisions of Legislative Decree 196/2003 "Code Privacy "and of the European Data Protection Regulation no. 679/2016 (" GDPR ") regarding the protection of personal data, as well as any other Italian regulatory provisions for coordination with the GDPR itself. link The undersigned expresses his consent so that the personal data provided can be processed in compliance with Legislative Decree 196/2003 "Privacy Code" and the European Data Protection Regulation n. 679/2016 ("GDPR") regarding the protection of personal data, for the obligations related to this procedure.
Signature _____________________________
