ENTRY FORM

Name/Nome

Surname/Cognome

Birth Date/Data di Nascita

Birth place/Luogo di Nascita

Country of birth/Nazione di Nascita

Gender/Genere

Current profession/Professione

Full address/indirizzo completo

City/Città

Province/Provincia

Zip code/CAP

Region-State/Regione

Residency Country/Nazione di Residenza

Check if Home Address different from Residency/Spuntare la casella se il Domicilio abituale differente dalla Residenza

Home Address full address/indirizzo domicilio completo

Home Address City/Città Domicilio

Home Address Province/Provincia Domicilio

Home Address Zip code/CAP Domicilio

Home Address Region-State/Regione Domicilio

Home Address Residency Country/Nazione di Residenza Domicilio

Title/Titolo

Mobile Phone/Cellulare

Landline Phone/Numero Fisso

E-mail

Personal national registration number (if any)/Codice fiscale

Passport/ID Card-Passaporto/Carta di identità

No file(s) selected

Personal Picture/Fototessera

No file(s) selected

I declare that I have been informed that my personal data will become available to Parte Guelfa and the methods of their treatment, as per the information pursuant to art. 13 of EU Regulation 679/2016 on the Parte Guelfa website (www.parteguelfa.it), which I declare to have viewed, read and understood. In accordance with the privacy legislation (EU Regulation 2016/679 - R.G.P.D. - 2022 edition) and the aforementioned information, I expressly authorize Parte Guelfa to process my personal data for:

Informations about the activities of Parte Guelfa

YES

Statistical purposes and to verify user satisfaction

YES

Promotional, marketing and advertising activities of Parte Guelfa

YES

Insert my contact details (mobile phone number and e-mail) in Parte Guelfa's service chats and newsletters

YES

Introducers' Name & Surname/Nome e Cognome Padrino e/o Madrina

PERSONAL DATA/DATI PERSONALI

RESIDENCY/RESIDENZA

HOME ADDRESS/DOMICILIO ABITUALE

CONTACT INFO/INFORMAZIONI DI CONTATTO

PERSONAL ID/DATI IDENTIFICATIVI

PRIVACY

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