Test form - Leone XIV International Study Center

01Personal data

First name *

Last name *

Place of birth *

Date of birth *

Tax identification number *

02Address

Street address and number *

City *

State/Region

Postal code *

Country

03Contact details

Email *

Mobile phone *

Home phone

Office phone

Certified email (PEC)

04Identity document

Please enter your document details. After submitting the form, you will be asked to send a copy by email to the secretariat.

Document type *

Document number *

Issuing authority *

Issue date *

Expiry date *

05Membership type

Ordinary member € 20.00 / year Participation in the associative life and activities of the Study Centre. Supporting member € 50.00 or more / year Enhanced contribution in support of the institutional activities of the Centre.

06Motivations

Describe your reasons for joining and your interest in the activities of the Study Centre *

07Declarations

The undersigned DECLARES

to have read the Articles of Association of the Organisation and to undertake to comply with them;
to share the associative purposes;
to undertake to pay the annual membership fee, as established by the Board of Directors, of at least € 20.00 for ordinary members and at least € 50.00 for supporting members;
to be aware that membership is annual with tacit renewal, unless withdrawal, pursuant to art. 24 of the Articles of Association.

I confirm all the declarations above. *

08Privacy Policy

The undersigned, as the data subject, declares to have read the privacy policy on personal data processing provided pursuant to art. 13 GDPR, available on this website, and grants consent:

To the processing of personal data, carried out in accordance with the above-mentioned policy and in compliance with the provisions of the GDPR and applicable data protection legislation. *

To the processing of "special category" personal data, carried out in accordance with the above-mentioned policy and in compliance with the provisions of the GDPR. *

To the use of the email address provided for sending associative communications. *