Application Form

Registration card



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1) Download your offline registration card click here
2) Fill in your registration card in all of its parts
3) Sign it
4) Send it by fax at this number: +39 0836 805350

Pay the required deposit by one of the following methods:

1.    Bank account:
Banca Popolare Pugliese di Otranto
Bic Code: BPPUIT33
Account to: CA.DI.FRA. SRL
IBAN: IT49 X052 6279 860C C028 1216 684

2.   Check to:
CA.DI.FRA. SRL,
addressed to Vico Antonio Sforza, 18  73028 Otranto(Lecce), Italy

3.   Wester Union to:
Bortone Carlo,
addressed to Vico Sforza, 4  73028 Otranto(Lecce), Italy

Name and Surname

Date of birth Day Month Year

Place of birth

   Nationality    Sex

Profession

Address

Phone number

Fax

E-Mail

Have you already studied italian?

School / University

How long?

Level of knoledge

I would register in this course

Number of weeks

Frequency

Date of beginning:

Day Month Year

Date of end: Day Month Year

I would register in this special course:



Number of weeks

Date of beginning of the Special Course:

Day Month Year

Date of end of the Special Course:

Day Month Year

We kindly inform you that, pursuant to art. 13 del DLgs 196/03, italian law, the information provided can be used within the law: those informations will be used for institutional aims, aims connected or instrumentals to the activities of our company, both manually and through computerizes instruments.
The information provided or otherwise acquired by our activity, may be communicated to physical or judicial persons, in Italy or abroad who, for and/or in the interests of our company, provide specific processing services or connected, instrumentals or support activities to those of our company, or activities fundamental to the institution and/or execution and/or conclusion of an established or in phase of establishment commercial or contract business.
We inform you that, relating to those uses, You can exert the rights of the art. 7 DLgs 196/03.