The undersigned (surname and first name)

Transcription

1 Magnifico Rettore Università degli Studi di Foggia Via Antonio Gramsci 89/ F O G G I A The undersigned (surname and first name) born in (province of ) date of birth resident in (name of town) (province of ) name of street street number zipcode/postcode tel. mobile Address for the purposes of this selection process (fill in only if different from the address provided above): name of street street number zipcode/postcode name of town (province of ) tel. mobile asks to take part in the selection process for admission to the Ph.D programme in Law (31 st series), or to be admitted conditionally to the selection process for the Ph.D programme in Law (31 st series) to do the oral part of the examination in English YES - NO (tick the appropriate answer); declares under his/her own responsibility: a) to have the following nationality ; that he/she is in possession of the academic qualification (officially recognized as a Master s degree or the equivalent):, with the following mark :, conferred on (day/month/year) from the following institution: ; or

2 that, by 31 st October 2015, he/she will have obtained the following academic qualification (officially recognized as a Master s degree or the equivalent): with the following mark:, from the following institution:, or that he/she is in possession of the following academic qualification:, conferred on (day/month/year) from the following institution: and asks the Doctoral Commission, exclusively for the purposes of admission to the Ph.D course, to recognise that the above-mentioned qualification is equivalent to a Master s (or to the Italian Magistrale or specialist degree). To this end the candidate is enclosing the following documentation relating to article 3 of this application form; ========================================================================== b) that he/she is willing to attend the Doctoral course, as well as the research- and training-centres specified in the application form, in accordance with the programme outlined by the Panel of Academic Staff; c) that, besides English, he/she knows the following foreign language(s): ; d) that he/she knows that he/she must not be enrolled, at the same time, on any other university course; e) (only for disabled candidates) that he/she, because of his/her disability, requires the following auxiliary means and extra time in order to complete out the test; ; f) that any change of address will be communicated immediately. (only for foreign candidates) This candidate asks to be allowed to carry out the oral part of the examination online using the following means or application:. The candidate declares that he/she agrees to take part in the oral examination on the day and at the time stipulated by the Commission, and that he/she knows that, if it is impossible to be contacted by the Commission on the day and at the time stipulated, he/she will be excluded from the selection procedure.

3 The undersigned declares, under his/her personal responsibility, that everything stated above corresponds to the truth, and that he/she is aware of the provisions laid down in article 76 of the Italian law no. 445 of 28/12/2000, relating to criminal liability in case of false declaration. The undersigned consents to the personal data contained in this application form being used in accordance with Italian decree no. 196 (30/06/2003). The undersigned attaches/encloses: 1) a photocopy of a valid identity document 2) a Curriculum Vitae (which must be signed at the bottom of the last page and include the following declaration: I declare that the information contained in this C.V. corresponds to the truth., according to Italian law no. 445/2000) 3) a list of his/her qualifications, as well as any publications and (if he/she has published anything) abstracts of the publications themselves 4) the research project proposed on topics relating to the Doctorate; this should be presented on paper (or as a Word document) and also as a PDF file on a CD Rom 5) two letters of recommendation, each written by a highly qualified person, and containing information about verifiable activities the candidate has carried out in the field of his/her proposed research project 6) a declaration that there is no impediment to forming an official relationship with the University of Foggia, if the Commission should decide in his/her favour 7) (only for candidates admitted WITH RESERVATION) a self-certification of the exams on his/her Master s (or equivalent) course that he/she has passed, along with his/her personal study programme 8) the original receipt for (fifty two euros), paid to the postal giro account number , made out to the Università degli Studi di Foggia, and giving the following motive: Concorso di ammissione al Dottorato di ricerca in Scienze Giuridiche XXXl Ciclo, or else, the receipt of bank draft for the same amount paid to the following account: Bancario dell Università di Foggia, Banca Popolare di Bari, with the following IBAN: IT38B Candidates whose previous qualifications were acquired abroad should enclose with / attach to their application the following: a copy of their academic qualifications, translated and authenticated by the Italian Embassy or Consulate in the country where they studied, according to current legislation regarding foreign nationals being admitted to Ph.D programmes in Italy; a declaration, by the same Embassy or Consulate, stating the Italian qualifications to which the candidate s qualifications are equivalent; (only for candidates who take part in the interview in person, and who are from outside the European Union) a copy of their Residence Permit.

4 Date: SIGNATURE Failure to sign this application-form, or to produce any of the documents requested above, will result in being excluded from the selection procedure. No documents or information may be added after the expiry date for submitting this application.

5 PERSONAL DECLARATION (Article 47, Italian law no. 445, 28/12/2000) The undersigned,... (surname)... (first name or names), born in... (city or town), in... (country/nation), and resident in... (Italian city or town) in the province of..., in... (street name and house number),... (postcode/zipcode), landline telephone number:..., mobile-phone number:..., address:..., aware that, if he/she makes false statements, he/she may incur legal sanctions according to Italian law (article 76 of Presidential decree no. 445, 22/12/2000), Declares The undersigned consents to the data provided in this application-form being used in accordance with legislative decree no. 196, 26 th June 2003, concerning the fulfilment of duties in connection with the public selection procedure for the Ph.D programme on to which he/she wishes to be accepted. Place and date... Signature... N.B. If this declaration is sent by post, it must be accompanied by the (non-authenticated) photocopy of an identity document.

6 Purely for illustrative purposes, here are a few suggestions about the language to use when substituting a personal declaration for an act written by a public notary: Purely for illustrative purposes, here are a few suggestions of how personal declarations can be made: _ The copy of the following publication: made up of pages, conforms to the original. _ The copy of the following document: made up of pages, conforms to the original. _ As regards the following publication: title The printer or publisher name surname or name of company has fulfilled all the obligations laid down in art. 1 of decree no. 660 of consisting in depositing four copies of the above publication at the Prefettura of the province where the printer is based and one copy with the local Procura della Repubblica.

7 DECLARATION, IN CASE THE CANDIDATE IS SELECTED, CONCERNINGTHE ABSENCE OF ANY OBSTACLE TO ESTABLISHING A FORMAL RELATIONSHIP WITH THE UNIVERSITY OF FOGGIA The undersigned,, born on (day/month/year), in, (town/city & country/nation), candidate for admission to the Ph.D programme, of the duration of 3 years based at the University of Foggia, aware of the provisions laid down in article 76 of Italian law no. 445 (28th December 2000) regarding criminal liability for false declaration, DECLARES that he/she has no relationship or affinity up to the fourth degree, and does not live with any professor or researcher who is part of a body which is calling for this public selection process namely the Rector, the Head of Administration or a member of the board of Governors of the University of Foggia; that he/she, aware of incurring criminal sanctions should he/she make a false declaration (according to article 76 of Italian law no. 445 of 28/12/2000), declares under his/her own responsibility that the information provided above is complete and true; that he/she consents to the personal data provided above being used in accordance with decree no. 196, 30/06/2003., (place and date) Signed.