ANNEX 2
	
                 Application for the Advanced Professional Course in 

______________________________________________

Advanced Professional Course code: ______________

The undersigned

____________________________________________________________________
Surname, Name (write on the line above)

____________________________________________________________________
Tax code

____________________________________________________________________
Nationality

____________________________________________________________________
Place and Date of Birth

____________________________________________________________________
Permanent address (City, Province, Street, Postcode)

____________________________________________________________________
E-mail address 

____________________________________________________________________
Landline and mobile number

_____________________
Infostud Student ID number

Holder of the following academic qualification

□ Bachelor’s Degree □ Master’s Degree □ Qualification obtained in an EU country
□ Other (specify)   
□ Graduand in the 2022-2023 academic year

____________________________________________________________________
Name of the degree

____________________________________________________________________
Institution/University where the degree was earned

______________________________________        _______________________
Date of graduation                                     		Final mark

□ Also enrolled for the academic year 2023-2024 in the following programme at Sapienza University of Rome
□ Bachelor’s Degree □ Master’s Degree □ Advanced Professional Course □ Medical Specialisation School □ Non- Medical Specialisation School

Name of the degree

____________________________________________________________________

Further qualifications (if any):

____________________________________________________________________

____________________________________________________________________

Applies for the Advanced Professional Course in

______________________________________________

Code of the Advanced Professional Course: _____________

For this purpose, attaches to the present application:
-	A copy of a valid ID, signed and legible (Identity Card, Driving License, Passport);
-	Curriculum vitae;
-	A copy of the receipt of the fee paid for the admission test/assessment of qualifications.

For candidates with an international qualification:
-	Declaration of Value of the degree provided by the Italian Consular Authority in the country where the degree was obtained (together with the transcript of records and a copy of the degree certificate). 
or 
-	CIMEA Statements of Verification (from the CIMEA platform on http://www.cimea.it/en/servizi/attestati-di-comparabilita-e-certificazione-dei-titoli/attestati-di-comparabilita-e-di-verifica-dei-titoli-diplome.aspx)
oppure 
-	Diploma Supplement (for European degrees) provided by the foreign University and legalized by the Italian Consular Authority in the country where the degree was obtained. 

For students with a recognised disability pursuant to Article 3(1) and (3) of Law no. 104 of February 5, 1992, and/or a disability equal to or greater than 66%:

a copy of the disability certificate - indicating the percentage of disability, or for cases provided for by law, only the type of disability - or the disability certificate pursuant to Article 3(1) and (3) of Law No. 104 of February 5, 1992 (for information, please contact the toll-free number 800-410960).

The undersigned declares that he/she has read and approves in every point the call for applications for Advanced Professional Courses, the Regulations and the Study Plan and that he/she has all the declared requirements and is aware of the penal and civil sanctions in the case of false declarations, formation or use of false documents, pursuant to art. 76 of Presidential Decree no. 445 of December 28, 2000.

Date					                                      Applicant's legible signature

INFORMATION PURSUANT TO ARTICLE 13 OF EU REGULATION 2016/679 "GENERAL DATA PROTECTION REGULATION".

Data controller
The data controller is Sapienza University of Rome; the University's legal representative is the Rector pro tempore. 
Contact details: urp@uniroma1.it; Certified e-mail: protocollosapienza@cert.uniroma1.it
Contact details of the Data Protection Officer
rpd@uniroma1.it; Certified e-mail: rpd@cert.uniroma1.it

Legal basis and purpose of processing 
Pursuant to Article 6 of the Regulation, the processing of data is necessary for the performance of a task carried out in the public interest or in the exercise of public authority vested in the data controller.
The data provided will be processed to the extent strictly necessary and for the purposes related to the enrolment and running of the Advanced Professional Course.
In particular, the data provided will be collected and processed for the pursuit of the following purposes
- ascertainment of the possession of the requisites required for participation in the selection procedures;

Nature of data provision and consequences of refusal
The personal data provided are processed in compliance with the principles of lawfulness, correctness and transparency, as provided for by the law, also with the aid of computer and telematic tools suitable for storing and managing the data, and, in any case, in such a way as to guarantee their security and protect the utmost privacy of the data subject.
The provision of data is compulsory. Any refusal to provide data shall make it impossible for the Data Controller, the Legal representative and the officers in charge to carry out the data processing operations and, therefore, make it impossible to carry out the registration for the selection procedure and the management of related procedural activities.

Processing methods and authorised subjects
Data is collected in compliance with the principles of relevance, completeness and non-excess in relation to the purposes for which it is processed.
The aforementioned data are processed using manual, paper and computerised procedures, by means of their inclusion in paper and/or computer files exclusively for the purpose of fulfilling legal requirements or for administrative and educational purposes, by the persons in charge of processing the data.

Rights of the data subject
The data subject may request from the data controller or data protection officer indicated above, if the conditions are met, access to his/her personal data pursuant to Art. 15 of the Regulation, rectification of the same pursuant to Art. 16 of the Regulation, deletion of the same pursuant to Art. 17 of the Regulation or restriction of processing pursuant to Art. 18 of the Regulation, or he/she may object to their processing pursuant to Art. 21 of the Regulation, as well as being able to exercise the right to data portability pursuant to Art. 20 of the Regulation.
In the event of a violation of the provisions of the Regulation, the interested party may lodge a complaint with the "Garante per la protezione dei dati personali".
Participation in the selection procedure in the manner set out in this call for applications implies acknowledgement of the aforementioned information notice.