Magnifico Rettore
Università degli Studi di Siena
via Banchi di Sotto 55
53100 Siena
FAMILY EXEMPTION FORM
Name and surname: _________________________________________________
Student number:____________________ Tax number: _____________________
Date of birth: ________ Place of birth: ___________________________________
Enrolled for academic year __________ on the degree programme (laurea), second cycle
degree programme (laurea magistrale) or long single cycle degree programme in:
______________________________________________________________________
at the Department of:
____________________________________________________________________
I hereby request application of the benefit provided for under art. 37 of the Fee
Regulations for simultaneous enrolment of another family member.
To this end, I declare the following details of the family member enrolled, according to
arts. 3 and 46 of Presidential Decree no. 445/2000. I am aware, under art. 76 of the same
Decree, that the issue, production or use of false declarations is punished in accordance
with the Penal Code and special laws on the subject, as well as by the loss of benefits, as
provided for by art. 75:
Name and surname: _____________________________________________________________
Student number:____________________ Tax number (codice fiscale): ____________________
Date of birth: ____________ Place of birth: __________________________________________
Enrolled for academic year __________ in first cycle degree course, second cycle degree course
or long single cycle degree course:
______________________________________________________________________
at the Department of:
____________________________________________________________________
Relationship:
parent
son/daughter
brother
sister
The duly compiled form can only be sent by email from your institutional email address
(student.unisi.it) to: gestione-tasse@unisi.it.
Signed ___________________________________
Place ______________ date ________________