Academic year 2024/2025 First Name * Last Name * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 Place of Birth * Country of Birth * AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaChina (Hong Kong)ColombiaComorosCosta RicaCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEL SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall islandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorthern Marianas IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamYemenZaireZambiaZimbabwe Italian Citizenship * YesNo Fiscal Code Address Country * AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaChina (Hong Kong)ColombiaComorosCosta RicaCroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEL SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea BissauGuyanaHaitiHoly SeeHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyIvory CoastJamaicaJapanJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall islandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorthern Marianas IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSan MarinoSao Tome and PrincipeSaudi ArabiaScotlandSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamYemenZaireZambiaZimbabwe City * Province/Region/State Street * House Number * ZIP Code * Telephone and electronic contact details for the purposes of the admission procedure Mobile Phone * E-mail Address * Certified E-mail Address PEC (if available) Required Educational Qualifications Typology * Titolo di studio italiano - laureatoTitolo di studio straniero - graduated foreign degree University * Bachelor/Master Degree * Bachelor DegreeMaster Degree Degree Codification / Classe di laurea (if available) Duration of the Course (in years) * - Select -12345 Degree in * Date of achievement of the qualification * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 Vote (indicate also maximum grade) * Ex. 100/100 with honors with honors Foreign degree certificate In the case of a degree qualification not issued in Italy, the candidate must attach one of the documents listed below: copy of the Diploma Supplement (DS) issued by the University where the qualification was obtained, written in Italian or English language; copy of the degree certificate issued by the University where the qualification was obtained, translated in Italian language (official translation); copy of the Declaration of Value issued by the diplomatic and consular network in the country where the qualification was obtained; attestazione del centro ENIC-NARIC italiano (CIMEA). certification issued by the Italian ENIC-NARIC Centre (CIMEA - Academic Equivalence Mobility Information Centre). Attachment Files must be less than 1.48 GB.Allowed file types: pdf zip. Required Knowledge of the English Language * Knowledge of the English language at least B1 level according to the official CEFR guidelines Additional Educational Qualifications I hold a PhD I am enrolled in a PhD Course I hold a Master's Degree Educational Qualifications in order of importance. Declarations Criminal Records/Proceedings * The signatory declares of not having criminal records and of not having any criminal proceedings underway Personal Data Processing * I declare that I have read the information on the processing of personal data Declaration of Responsability * I declare that everything declared in this application for admission and in the attached curriculum vitae has value of declaration substituting the certificates according to the art. 46 of the D.P.R. 28/12/2000, n. 445, and declaration in lieu of affidavit according to art. 47 of D.P.R. 28/12/2000, n. 445. Dichiarazione di responsabilità 2 * I declare to be aware of the criminal sanctions pursuant to art. 76 of D.P.R. 445 of 28.12.2000 in the event of false declarations I declare to possess the following priority criteria indicated in the art. 7 of the Call for application to the Course, according to the “Bando Ricerca Sisma 2016”: Criterio di priorità 1 residence in the area of central Italy earthquake crater of the 2016, with priority given to those who, according to the indicated criteria, are residents in the most affected municipalities of the Crater area 2016, as identified in the Ordinance of the Extraordinary Commissioner of the Government no. 101 of 30 April 2020 Pursuant to art. 18, paragraph 1, letter c) of Law 240/2010, the candidate is required to declare: Relationship * NOT TO BE related by kinship or affinity, up to and including the fourth degree, to a professor belonging to the University that requests the admission procedure to the Course with the Rector, the General Director or a member of the Board of the University.
