Application Form

PERSONAL DATA

Name*

Surname*

Date of birth (dd/mm/yyyy)*

Place of birth*

State*

Province*

Nationality*

Passport Id Nº*

Sex* M F

Fiscal code (for Italian citizens)

Address*

Postalcode*

City*

State

Province

Phone*

Fax

Email*

ABOUT MESCI

Where did you get information on Mesci?*

Tell us shortly what you think about our website

CURRENT ADDRESS (If Applicable)

Address

Postalcode

City

State

Province

Phone

Fax

EDUCATION

University Degree in*

University of*

Date from (mm/yyyy)*

To (mm/yyyy)*

Final Grade*

Thesis Title*

Official Duration*

Total Ects Awarded

OTHER QUALIFICATIONS

University Degree in

University of

Date from (mm/yyyy)

To (mm/yyyy)

Final Grade

Thesis Title

Official Duration

Total Ects Awarded

LANGUAGE SKILLS

English skill

Other language

Other language skill

Other language

Other language skill

Information related to italian Privacy Law 196/2003
I hereby authorize the use of my personal details solely for circulation within the Master MESCI University
of Rome "Tor Vergata" in relation to the Italian Legislative Decree n.196 of 30/06/2003

I have read and understood the rules*

ATTACHMENTS

Curriculum vitae*

Motivational Letter*

(Prepare a motivational letter indicating why you wish to enroll, your expectations and your professional objectives)

Copy of university diplomas*

(International applicants are requested to submit official university transcripts)

Scanned copy of your passport/ID*

GDPR data processing*

Dichiaro di aver preso visione dell'informativa privacy ai sensi dell'art.13 del Regolamento (UE) 679/2016 (GDPR) I declare I have read the privacy policy pursuant to art.13 of Regulation (UE) 679/2016 (GDPR)

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International Cooperation

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