APPLICATION  FORM

ACADEMIC YEAR 1999-2000

(Write  in block letters)

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Surname ..............................................................Name................................................................

Date and place of birth.........................................Nationality:............................................................ .

Telephone: home ...................................................work:.................................................................

Profession and name of the company: ................................................................................................

............................................................................................ .......................................................

Course studying at the moment:........................................................................................................

....................................................................................................................................................

School of the above course:..........................................................................................................

Knowledge and level (low/medium/good) of foreign languages:

1)............................................................... 2).............................................................................

Level of the applied course:  

1-Beginner

2- Pre-intermediate

3- Intermediate

4- Advanced  

For the following period:    

first semester: September 22nd - February 5th                        

second semester: 15/02/2000  - 03/06/2000

Level of Italian course already attended:..........................................................................................

.....................................................................................................................................................

Date and Signature:........................................................................................................................

......................................................................................................................................................

Note:  as no notification will be sent, the candidates who do not receive any information by   February 15th 2000, must consider their application as not temporarily accepted.

For any further information, please contact:  

 

Prof. Giuseppe Barbaro, c/o Italian Embassy, Tel.: 8256256