REG. FL. ............ N°........................ AL MAGNIFICO RETTORE DELL’UNIVERSITÀ DEGLI STUDI DI PALERMO I, ___________________________________________________ (First Name, Middle Name, Surname) born on ______ ( Day/ Month/ Year), in __________________________________________________ (Municipality, Province, Country) Resident in ______________________________________________ (Municipality), (Postal Code) _______________ Street address________________________________ Telephone # _______________________________Mobile phone #______________________________ E-Mail _______________________________________________ Fiscal/Taxation Code_________________________________________________ recipient of a Degree in _____________________________________________________________ awarded by the University of:________________________________________________________ Matriculation n°____________________________ Requests to participate in the application process, with an evaluation based on qualifications and examination, anounced by the Università degli Studi di Palermo A.A. 20____20____, for admission to: I level Master in: Hospitality Management and Food and Beverage Master Code: M_____________ With this purpose, I declare that I am aware: That the admission examinations for the Master will be held on ________ (date) at ________(time) Signature _______________________