“TIM DUO” SERVICE (Dual Billing) I, the undersigned ________________________________________________________ assignee of the company mobile phone in the name of the Politecnico di Milano corresponding to the number ___________________________ request activation of the TIM DUO service on the number assigned to me, in order to allow me to make personal calls with this number by prefixing the code 4146 to the number to be called. The cost of personnel traffic, calculated according to the price list in the Consip agreement, shall be entirely my responsibility. Payment of invoices for my personal traffic can only be made by charging to a bank account or credit card. To this end, I authorise this charge by completing and signing the form which I attach to this document. The invoice issued by Telecom Italia on a bimonthly basis, with its attached traffic details, shall be sent to the address specified by me in the completed charge form. By accepting this document I hereby authorise, in compliance with Law no.196/03 (Code concerning the protection of personal data), the ICT Services Area to communicate my data to Telecom Italia in order to provide the TIM DUO service according to the Information Bulletin published on the intranet which I have read. I am aware that I am solely and directly responsible towards Telecom Italia for payment of the amounts invoiced to me concerning my personal traffic and thus the sole holder of such debt. In the event of failure to pay invoices concerning my personal traffic, Telecom Italia shall act solely against me for credit collection. I am aware that Telecom Italia shall have the right, should at least two consecutive invoices concerning my personal traffic be outstanding, to terminate, upon notice, only the TIM DUO service. In this case, the number assigned to me may be used only for business purposes until subsequent notification from Telecom concerning reactivation of said service following payment of outstanding amounts. It is understood that all personal calls made using the number assigned to me shall be assumed to have been made by me, with any consequent liability being my responsibility. I declare that I have read the detailed information concerning the TIM DUO Service and its fruition available on the intranet. I attach: photocopy of an identity document RID charge form. Signature