Transcript Master Universitario di I livello in Economia e Scienza del Caffè

Università degli Studi di Udine
Master Universitario di I livello in
Economia e Scienza del Caffè - Coffee
Economics and Science "Ernesto Illy "
The revenue
stamp has been
virtually paid
APPLICATION FOR ENROLMENT
ACCADEMIC YEAR 2016/2017
To the Magnificent Chancellor of the
UNIVERSITY OF UDINE
I, the undersigned
(the last name and the first name)
born in __________________________on (DD/MM/YYYY) ____/____/19____, Citizen of
Residential address
Postal Code
______ City_____________________________________ State/Provence ____________
Telephone number(s) _______/__________________ , _______/__________________
(indicate one or more telephone numbers that will be possible to contact someone or to leave a message during Italian business hours).
e-mail address: _____________________________________________________________
REQUIRE
to be enrolled in the first level Master (Master di I livello) in Economia e Scienza del Caffè - Coffee
Economics and Science "Ernesto Illy" of the academic year 2016/2017.
With the purpose of enrolment, I attach the following:
a) The total enrolment fee for this master’s program is 15,000 euros. Receipt of deposit for the initial
enrolment fee equalling to € 1,016 (one thousand and sixteen euros – this amount includes 16 euro
enrolment tax) to be deposited in the account addressed to the University of Studies of Udine at UNICREDIT
BANK S.p.A. by means of a bank transfer within October 31, 2016.
The bank coordinates are as follows:
IBAN IT23R0200812310000040469443
SWIFT CODE: UNCRITM 1UN6
PURPOSE OF PAYMENT: I RATA MASTER ILLY 16/17 (please specify the name of the candidate)
Please note: the remaining amount of € 14,000 (fourteen thousand euros) must be made to the same bank
coordinates no later than April 30th 2017.
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Università degli Studi di Udine
b) One passport-sized photo
c) Copy of an Identification Document (passport or ID card)
d) Candidates who have a degree title achieved in a foreign country must attach the official translation in
Italian of the title of study for the admission into the Master Program, with a legalization and a Declaration
of Value (DV) by the competent Italian Agency for the territory in the country where the degree title was
released. If these documents were not presented with the admission application, you have to attach your DV
with this enrolment application or at least within April 30th 2017.
I, the undersigned, declare acknowledgement of all the university disciplinary dispositions regarding the first
level Master (Master di I Livello) in Economia e Scienza del Caffè – Coffee Economics and Science “Ernesto
Illy” of the academic year 2016/2017 of the Studies Program.
Udine, (date) ________________________
________________________________ (*)
(Handwritten signature required)
The personal data requested by the candidate will be treated within the limits established by the Italian Legislative
Decree no. 196 of 6/2003 "Personal Data Protection Code".
_______________________________________________________________________________________________
(*)The signature of this application of enrolment must be sign in the presence of an assigned employee, upon showing a valid document of identity; in
case of postal presentation or by third parties, the DULY SIGNED application should also have a valid document of identity photocopied (front and back)
attached. In case of postal consignment, the date affixed by the Register Office of the University of Studies of Udine will be the attested date.
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