ANNEX "C"
AFFIDAVIT
(articles 46 and 47 of Presidential decree 445 dated 28/12/2000)
The undersigned
Surname______________________
____________________
name
_____________________tax
code
born in ____________________________ province_________ on __________________
currently resident in _______________________________ province _________ address
____________________________ ZIP code __________
aware that false statements are punishable according to articles 483, 495 and 496 of the
penal code and the special laws on this matter
DECLARES:
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The undersigned agrees that the personal data submitted shall be treated according to
Legislative decree 196 dated 30.06.03 for the purposes of the selection procedure.
Place and date ..........................................
The undersigned
..............................................................
According to art. 38 of the Presidential decree 445 dated 28 December 2000 is signed
and submitted together with a copy of a valid identification document of the candidate.
By way of mere example only, set out below are some wordings that one can include in the
sample declaration in lieu of certification:
o
that in the article appearing in the journal ____________________ written/published together
with ___________________, I wrote the following _________________________:
(specify whether it is a section, paragraph, preface etc.)
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o
that in the chapter of the book __________________________________ written/published
together with ___________________, I wrote the following _________________________:
(specify whether it is a section, paragraph, preface etc.)
__________________________________________________________________________
__________________________________________________________________________
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o
that in the monograph __________________________________ written/published together
with ___________________, I wrote the following _________________________:
(specify whether it is a chapter, section, paragraph, preface etc.)
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