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{\fhimajor\f31502\fbidi \froman\fcharset0\fprq2{\*\panose 02040503050406030204}Cambria;}{\fbimajor\f31503\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}
{\flominor\f31504\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\fdbminor\f31505\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}
{\fhiminor\f31506\fbidi \fswiss\fcharset0\fprq2{\*\panose 020f0502020204030204}Calibri;}{\fbiminor\f31507\fbidi \froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;}{\f41\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
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{\f52\fbidi \fswiss\fcharset204\fprq2 Arial Cyr;}{\f54\fbidi \fswiss\fcharset161\fprq2 Arial Greek;}{\f55\fbidi \fswiss\fcharset162\fprq2 Arial Tur;}{\f56\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew);}
{\f57\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic);}{\f58\fbidi \fswiss\fcharset186\fprq2 Arial Baltic;}{\f59\fbidi \fswiss\fcharset163\fprq2 Arial (Vietnamese);}{\f61\fbidi \fmodern\fcharset238\fprq1 Courier New CE;}
{\f62\fbidi \fmodern\fcharset204\fprq1 Courier New Cyr;}{\f64\fbidi \fmodern\fcharset161\fprq1 Courier New Greek;}{\f65\fbidi \fmodern\fcharset162\fprq1 Courier New Tur;}{\f66\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}
{\f67\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}{\f68\fbidi \fmodern\fcharset186\fprq1 Courier New Baltic;}{\f69\fbidi \fmodern\fcharset163\fprq1 Courier New (Vietnamese);}{\f81\fbidi \fswiss\fcharset238\fprq2 Helvetica CE;}
{\f82\fbidi \fswiss\fcharset204\fprq2 Helvetica Cyr;}{\f84\fbidi \fswiss\fcharset161\fprq2 Helvetica Greek;}{\f85\fbidi \fswiss\fcharset162\fprq2 Helvetica Tur;}{\f86\fbidi \fswiss\fcharset177\fprq2 Helvetica (Hebrew);}
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{\f382\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr;}{\f384\fbidi \froman\fcharset161\fprq2 Cambria Math Greek;}{\f385\fbidi \froman\fcharset162\fprq2 Cambria Math Tur;}{\f388\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic;}
{\f389\fbidi \froman\fcharset163\fprq2 Cambria Math (Vietnamese);}{\f421\fbidi \fswiss\fcharset238\fprq2 Tahoma CE;}{\f422\fbidi \fswiss\fcharset204\fprq2 Tahoma Cyr;}{\f424\fbidi \fswiss\fcharset161\fprq2 Tahoma Greek;}
{\f425\fbidi \fswiss\fcharset162\fprq2 Tahoma Tur;}{\f426\fbidi \fswiss\fcharset177\fprq2 Tahoma (Hebrew);}{\f427\fbidi \fswiss\fcharset178\fprq2 Tahoma (Arabic);}{\f428\fbidi \fswiss\fcharset186\fprq2 Tahoma Baltic;}
{\f429\fbidi \fswiss\fcharset163\fprq2 Tahoma (Vietnamese);}{\f430\fbidi \fswiss\fcharset222\fprq2 Tahoma (Thai);}{\flomajor\f31508\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhimajor\f31528\fbidi \froman\fcharset238\fprq2 Cambria CE;}
{\fhimajor\f31529\fbidi \froman\fcharset204\fprq2 Cambria Cyr;}{\fhimajor\f31531\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\fhimajor\f31532\fbidi \froman\fcharset162\fprq2 Cambria Tur;}
{\fhimajor\f31535\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}{\fhimajor\f31536\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}
{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\flominor\f31548\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}
{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}
{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}
{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}
{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}
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\b\fs26\loch\f31502\hich\af31502\dbch\af31501 \sbasedon10 \slink3 \slocked \ssemihidden \spriority9 Titolo 3 Carattere;}{\*\cs17 \additive \rtlch\fcs1 \ab\af0\afs28 \ltrch\fcs0 \b\fs28\loch\f31506\hich\af31506\dbch\af31505 
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\s21\ql \li0\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 \sbasedon0 \snext21 \slink22 \styrsid10775130 Body Text;}
{\*\cs22 \additive \rtlch\fcs1 \af0 \ltrch\fcs0 \sbasedon10 \slink21 \slocked \ssemihidden Corpo testo Carattere;}{\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af38\afs16\alang1025 \ltrch\fcs0 
\f38\fs16\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 \sbasedon0 \snext23 \slink24 \ssemihidden \sunhideused \styrsid8220870 Balloon Text;}{\*\cs24 \additive \rtlch\fcs1 \af0 \ltrch\fcs0 \f38\fs16 
\sbasedon10 \slink23 \slocked \ssemihidden \styrsid8220870 Testo fumetto Carattere;}}{\*\listtable{\list\listtemplateid457848622\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat0\levelspace0\levelindent0{\leveltext
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\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li3872\jclisttab\tx3872\lin3872 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68157441
\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li4592\jclisttab\tx4592\lin4592 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68157443
\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5312\jclisttab\tx5312\lin5312 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68157445
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6032\jclisttab\tx6032\lin6032 }{\listname ;}\listid900285496}{\list\listtemplateid838750786\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace720
\levelindent0{\leveltext\leveltemplateid68157451\'01\u-3880 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li360\jclisttab\tx360\lin360 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat0\levelspace0\levelindent0{\leveltext
\leveltemplateid632989638\'01\u-3982 ?;}{\levelnumbers;}\loch\af10\hich\af10\dbch\af0\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace720\levelindent0
{\leveltext\leveltemplateid68157445\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace720\levelindent0{\leveltext
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\leveltemplateid68157443\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace720\levelindent0{\leveltext\leveltemplateid68157445
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace720\levelindent0{\leveltext\leveltemplateid68157441
\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace720\levelindent0{\leveltext\leveltemplateid68157443
\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace720\levelindent0{\leveltext\leveltemplateid68157445
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listname ;}\listid1067340749}{\list\listtemplateid75804156\listhybrid{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360
\levelindent0{\leveltext\leveltemplateid68157463\'02\'00);}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0
{\leveltext\leveltemplateid68157443\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid68157467\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid68157455\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid68157465\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid68157467\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid68157455\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid68157465\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid68157467\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid1877698513}{\list\listtemplateid-1209627840\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid-812764064\'01-;}{\levelnumbers;}\loch\af1\hich\af1\dbch\af0\fbias0 \fi-360\li720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68157443\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0
{\leveltext\leveltemplateid68157445\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68157441
\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68157443\'01o;}{\levelnumbers;}\f2\fbias0 
\fi-360\li3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68157445\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\lin4320 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68157441\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0
\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68157443\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid68157445\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\lin6480 }{\listname ;}\listid2011443166}}{\*\listoverridetable{\listoverride\listid1067340749\listoverridecount0\ls1}
{\listoverride\listid93091713\listoverridecount0\ls2}{\listoverride\listid859393463\listoverridecount0\ls3}{\listoverride\listid900285496\listoverridecount0\ls4}{\listoverride\listid2011443166\listoverridecount0\ls5}{\listoverride\listid1877698513
\listoverridecount0\ls6}}{\*\pgptbl {\pgp\ipgp0\itap0\li0\ri0\sb0\sa0}}{\*\rsidtbl \rsid213278\rsid421607\rsid529980\rsid723376\rsid1264043\rsid1389616\rsid1453339\rsid1534933\rsid1667892\rsid1923501\rsid2063640\rsid3428358\rsid3760283\rsid4011874
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\rsid13902255\rsid13921351\rsid14180905\rsid14181252\rsid14186075\rsid15547076\rsid16072537\rsid16154184\rsid16260187\rsid16524632}{\mmathPr\mmathFont34\mbrkBin0\mbrkBinSub0\msmallFrac0\mdispDef1\mlMargin0\mrMargin0\mdefJc1\mwrapIndent1440\mintLim0
\mnaryLim1}{\info{\title FAC-SIMILE DI DOMANDA}{\author ASL 5 'Spezzino'}{\operator MARIOTTI VALENTINA}{\creatim\yr2017\mo12\dy21\hr11}{\revtim\yr2019\mo7\dy31\hr14\min59}{\printim\yr2015\mo5\dy4\hr15\min9}{\version5}{\edmins24}{\nofpages5}{\nofwords1345}
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\showxmlerrors1\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\formshade\horzdoc\dgmargin\dghspace120\dgvspace163\dghorigin1134\dgvorigin1417\dghshow0\dgvshow2
\jexpand\viewkind1\viewscale100\pgbrdrhead\pgbrdrfoot\splytwnine\ftnlytwnine\htmautsp\nolnhtadjtbl\useltbaln\alntblind\lytcalctblwd\lyttblrtgr\lnbrkrule\nobrkwrptbl\snaptogridincell\allowfieldendsel\ApplyBrkRules
\wrppunct\asianbrkrule\rsidroot11758065\utinl \fet0{\*\wgrffmtfilter 013f}\ilfomacatclnup0\ltrpar \sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang 
{\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}
{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9
\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ltrpar\qj \li0\ri-82\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-82\lin0\itap0\pararsid1264043 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid1264043 FAC-SIMILE DI DOMANDA}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1264043 
\par }\pard \ltrpar\qj \li0\ri1296\widctlpar\tx3969\tx7230\tx9072\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin1296\lin0\itap0\pararsid13902255 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid13902255 \tab }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid16072537 Al Commissario Straordinario}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid13902255 \tab Azienda Sociosanitaria Ligure 5 \endash  LA SPEZIA}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 
\par \tab Via }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid7804534 Fazio}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 , 3}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid7804534 0}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043  
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid7804534 \tab 19121}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043  La Spezia
\par }\pard \ltrpar\qj \li0\ri1296\widctlpar\tx5400\tx7230\tx9072\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin1296\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 
\par 
\par }\pard \ltrpar\qj \li0\ri567\sa120\sl360\slmult1\widctlpar\tx5400\tx7230\tx9072\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin567\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 Il /la sottoscritto/a \'85\'85\'85\'85
\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par }\pard \ltrpar\qc \li0\ri567\sa120\sl360\slmult1\widctlpar\tx5400\tx7230\tx9072\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin567\lin0\itap0\pararsid4091153 {\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid1264043\charrsid6322112 chiede}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4091153 
\par }\pard \ltrpar\qj \li0\ri567\sa120\sl360\slmult1\widctlpar\tx5400\tx7230\tx9072\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin567\lin0\itap0\pararsid3428358 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358\charrsid3428358 
di essere ammesso/a all\rquote avviso di pubblica selezione, per titoli e colloquio selettivo, per il conferimento, ai sensi dell\rquote art. 7 comma 6 del D. Lgs. n. 165/2001 e ss.mm.ii., }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16072537 
di n. 4 incarichi individuali}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358\charrsid3428358  con contratto di lavoro autonomo di natura libero }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4816876 professionale (co.li.pro), di}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid3428358\charrsid3428358  durata }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16072537 massima di dodici}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid13902255  mesi}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16072537 , a Medici specialisti}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358\charrsid3428358  in }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16072537 Ginecologia e Ostetricia}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358 ,}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16072537  presso la
 S.C. Ostetricia e Ginecologia}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358\charrsid3428358 .
\par }\pard \ltrpar\qj \li0\ri458\sa120\sl360\slmult1\widctlpar\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin458\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 Dichiara sotto la propria responsabilit\'e0,  consapev
ole, secondo quanto previsto dall\rquote art. 76 D.}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8220870  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 Lgs. n. 443/2000, della responsabilit\'e0 penale cui pu\'f2
 andare incontro in caso di dichiarazioni mendaci e falsit\'e0 negli atti ed uso di atti falsi:
\par }\pard\plain \ltrpar\s1\qj \li0\ri0\sa120\sl360\slmult1\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid1264043 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\fs20\ul\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\ulnone\insrsid1264043 - }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\ulnone\insrsid1264043\charrsid1534933 di essere}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\ulnone\insrsid1264043  nato/a \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85................il\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\ulnone\insrsid1264043\charrsid1534933 
\par }\pard\plain \ltrpar\s18\qj \li180\ri278\sa120\sl360\slmult1\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin180\itap0\pararsid1264043 \rtlch\fcs1 \af0\afs16\alang1025 \ltrch\fcs0 
\fs16\lang1033\langfe2052\cgrid\langnp1033\langfenp2052 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1040\langfe2052\langnp1040\insrsid1264043 residente a \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85 C.A.P. (\'85\'85\'85\'85\'85\'85\'85..) in Via /Piazza\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.n\'85\'85\'85\'85\'85\'85.
\par (telefono n\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..cellulare\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par }\pard \ltrpar\s18\qj \li0\ri278\sl240\slmult0\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\lang1040\langfe2052\langnp1040\insrsid1264043 
- di essere in possesso della cittadinanza \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par }\pard \ltrpar\s18\qj \li0\ri278\sa120\sl360\slmult1\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\lang1040\langfe2052\langnp1040\insrsid1264043  }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \i\f1\fs18\lang1040\langfe2052\langnp1040\insrsid1264043\charrsid1667892 (indicare se italiana; specificare di quale stato se diversa}{\rtlch\fcs1 \af1\afs18 
\ltrch\fcs0 \f1\fs18\lang1040\langfe2052\langnp1040\insrsid1264043\charrsid1667892 )
\par }\pard\plain \ltrpar\qj \li0\ri278\sa120\sl360\slmult1\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid1264043 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 - di essere/non essere iscritto/a nelle liste elettorali del Comune di \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par }\pard \ltrpar\qj \li0\ri278\sl240\slmult0\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 
- di non avere riportato condanne penali e di non avere procedimenti penali in corso;
\par }\pard \ltrpar\qj \li0\ri278\sa120\sl360\slmult1\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid1264043\charrsid1667892 (}{\rtlch\fcs1 
\af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid1264043\charrsid1667892 in caso affermativo indicare le condanne riportate}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid1264043\charrsid1667892 )
\par }\pard \ltrpar\qj \li0\ri278\sa120\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid3428358 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid1264043 - }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid1264043 di essere in possesso del diploma di laurea i}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16260187 n \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85... }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid1264043 
\par }\pard \ltrpar\qj \li0\ri278\sa120\sl360\slmult1\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043   conseguito presso\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.. in data\'85\'85\'85\'85\'85\'85\'85\'85.}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043\charrsid1534933 
\par }\pard \ltrpar\qj \li0\ri278\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16260187 - }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 
di essere in possesso dell\rquote abilitazione all\rquote esercizio della professione  in \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par }\pard \ltrpar\qj \li0\ri278\sb120\sa120\sl360\slmult1\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid3428358 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6322112   conseguita}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid1264043  presso\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.. in data\'85\'85\'85\'85\'85\'85\'85\'85.}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16260187 
\par }\pard \ltrpar\qj \fi-142\li142\ri278\sb120\sa120\sl360\slmult1\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin142\itap0\pararsid13921351 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid1264043 - }{\rtlch\fcs1 
\af1 \ltrch\fcs0 \f1\insrsid3428358 di essere iscritto all\rquote Albo dell\rquote Ordine Pr}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid9980134 ofessionale dei Medici}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358  di \'85\'85\'85\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid9980134 \'85\'85..}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358    }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 dal \'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid3428358 \'85\'85\'85 }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043   al n}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358 . }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16260187  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358 \'85\'85\'85
\'85\'85}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid7804534 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \ltrpar\qj \fi-142\li142\ri278\sb120\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls5\adjustright\rin278\lin142\itap0\pararsid3428358 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid7804534 di essere in possesso del diploma di specializzazione in  \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85\'85\'85\'85\'85... 
\par }\pard \ltrpar\qj \li142\ri278\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin142\itap0\pararsid3428358 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid7804534 conseguito presso \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.. in data \'85\'85\'85\'85\'85\'85\'85.. 
\par }\pard \ltrpar\qj \li0\ri278\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid16260187\charrsid1534933 
\par }\pard \ltrpar\ql \fi-142\li142\ri282\sl360\slmult1\widctlpar\tx9356\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin282\lin142\itap0\pararsid1667892 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid7369764 - }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid4091153\charrsid5969536 di}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4091153  aver prestato e/o di prestare }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4091153\charrsid5969536 i seguenti serv}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4091153 
izi presso }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4091153\charrsid5969536 pubbliche Amministrazioni }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid4091153\charrsid1667892 (indicare }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\i\f1\fs18\insrsid11042052\charrsid1667892 le }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid4091153\charrsid1667892 cause di }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid1667892\charrsid1667892  }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\i\f1\fs18\insrsid4091153\charrsid1667892 risoluzione dei rapporti di impiego}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid4091153\charrsid1667892 )}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid11042052\charrsid1667892 :}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid11042052  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4091153\charrsid5969536 _________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4091153 _______________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid7804534 
_______________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358 _________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid7804534 _}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358 _}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid4816876 ____}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid13921351 __}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358 __}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid13921351 ___}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid3428358 __}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid4091153 __________________________________________________________________________________________________________________________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid13921351 _____________}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid7369764 
\par }\pard \ltrpar\qj \li142\ri282\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin282\lin142\itap0\pararsid11042052 {\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \f1\insrsid7369764\charrsid4816876 ovvero }{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 
\f1\insrsid4091153\charrsid4816876 di non avere prestato servizio p}{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \f1\insrsid7369764\charrsid4816876 resso Pubbliche Amministrazioni}{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \f1\insrsid4816876  }{\rtlch\fcs1 \ab\af1\afs18 
\ltrch\fcs0 \f1\fs18\insrsid4816876\charrsid1667892 (}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 \i\f1\fs18\insrsid4816876\charrsid1667892 cancellare la condizione che non interessa}{\rtlch\fcs1 \ab\af1\afs18 \ltrch\fcs0 
\f1\fs18\insrsid4816876\charrsid1667892 )}{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid4091153\charrsid5969536 ;
\par }\pard \ltrpar\qj \li0\ri278\sa120\sl360\slmult1\widctlpar\tx7088\tx7230\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid13921351 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid7369764 - }{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid1264043 Allega il proprio curriculum professiona}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8678658 le (datato e sottoscritto) e la copia fotostatica di un }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 documento di identit\'e0
 in corso di validit\'e0.
\par }\pard \ltrpar\qj \li0\ri278\sa120\sl360\slmult1\widctlpar\tx7088\tx7230\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 
- Allega un elenco, in carta semplice, dei documenti e titoli presentati.
\par Chiede che ogni comunicazione relativa alla presente procedura selettiva venga fatta al seguente indirizzo, impegnandosi, altres\'ec, a comunicare le eventuali variazioni successive:
\par }\pard \ltrpar\qj \li0\ri278\sa120\sl360\slmult1\widctlpar\tx9180\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin278\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 Via/piazza \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85Comune\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par (CAP)\'85\'85\'85\'85\'85\'85..Provincia\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85Telefono\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid7804534 e-mail \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8678658 PEC\'85\'85\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85.}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043\charrsid529980 __l__ sottoscritt__ dichiara altres\'ec di accettare tutte le indicazioni contenute nel bando e autorizzare l\rquote Azienda al trattamento dei dati personali, }{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid8678658\charrsid8678658 ai sensi del D. Lgs. 30/06/2003 n. 196 e del Regolamento UE 2016/679 finalizzati all\rquote espletamento della procedura concorsuale cui \'e8 riferita la presente proc}{\rtlch\fcs1 \af1 \ltrch\fcs0 
\f1\insrsid8678658\charrsid8678658\hres1\chhres0 e}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8678658\charrsid8678658 dura concorsuale e dichiara di accettare le condizioni fissate dal bando nonch\'e9 quelle che disciplinano e disc}{\rtlch\fcs1 \af1 
\ltrch\fcs0 \f1\insrsid8678658\charrsid8678658\hres1\chhres0 i}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8678658\charrsid8678658 plineranno lo stato giuridico ed economico del personale dell}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid8678658 \rquote 
Azienda Sociosanitaria Ligure 5 \endash  LA SPEZIA.}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043\charrsid529980 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid13598371 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid1264043\charrsid16154184 Data\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..Firma\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par }\pard \ltrpar\qc \li0\ri-82\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-82\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid1264043 
\par 
\par 
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\par 
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\par 
\par }{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid11042052 
\par 
\par }{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid1264043 
\par 
\par 
\par }\pard \ltrpar\qc \li0\ri484\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin484\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid16260187 Dichiarazione sostitutiva}{\rtlch\fcs1 
\ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid12456729  di certificazione }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid12456729 (art. 46 D.P.R. 445/2000)
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12456729 (da co}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12456729\hres1\chhres0 m}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12456729 
pletare }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043 per la}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12456729  produzione dei titoli)
\par }\pard \ltrpar\qj \li0\ri484\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin484\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid13592235 
\par }\pard \ltrpar\qj \li0\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 
Il/la sottoscritto/a_______________________________________________________
\par Nato/a a ____________________ il ___________________ e residente in _________________________ Via____________________________________________
\par }\pard \ltrpar\qj \li0\ri67\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin67\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\i\f1\insrsid6892997\charrsid6892997 consapevole che }{\rtlch\fcs1 \ab\ai\af1 \ltrch\fcs0 
\b\i\f1\insrsid6892997\charrsid6892997  in caso di dichiarazioni mendaci o non pi\'f9 rispondenti a verit\'e0  e di formazione di atti falsi, si applicheranno le sanzioni penali  richiamate  dall\rquote art. 76 D.P.R. n. 445/2000, e che, ai sensi dell
\rquote art. 75 del citato decreto,  decadr\'e0 dai benefici eventualmente conseguenti al provvedimento emanato sulla base della dichiarazione non veritiera, sotto la sua personale responsabilit\'e0:
\par }\pard \ltrpar\ql \li0\ri67\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin67\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\i\f1\insrsid6892997\charrsid6892997 
\par }\pard \ltrpar\qc \li0\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid6892997\charrsid6892997 DICHIARA
\par }\pard \ltrpar\qj \li0\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid6892997\charrsid6892997 
\par Di essere in possesso del seguente titolo di studio}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 :_______________________
\par }\pard \ltrpar\qj \li0\ri0\sb120\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 
conseguito in data _______________ presso__________________________________ con la seguente votazione___________
\par }\pard \ltrpar\qj \li0\ri0\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 
\par }\pard \ltrpar\qj \li0\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid6892997\charrsid6892997 Di essere in possesso del seguente titolo di Specializzazione}{
\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 : ____________________
\par conseguito in data _______________________________presso______________________
\par }\pard \ltrpar\qj \li0\ri0\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 con la seguente votazione _______________
\par }\pard \ltrpar\qj \li0\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid6892997\charrsid6892997 
\par Di essere in possesso dell\rquote abilitazione allo svolgimento della professione di}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 :___________________
\par }\pard \ltrpar\qj \li0\ri0\sa240\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 ottenuta in data _________presso_______
\par }\pard \ltrpar\qj \li0\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid6892997\charrsid6892997 
\par }\pard \ltrpar\qj \li0\ri0\sa120\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid6892997\charrsid6892997 Di essere iscritto all\rquote Albo dell\rquote 
Ordine dei Medici della provincia di : _______________________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 dal ___________________ al n. ________________
\par }\pard \ltrpar\qj \li0\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid6892997\charrsid6892997 
\par Altro:
\par _________________________________________________}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 
\par 
\par Il sottoscritto esprime il proprio consenso affinch\'e9 i dati personali forniti possano essere}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997  trattati nel rispetto del D.Lgs}{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 
. n. 196/2003 (Codice in materia di protezione dei dati personali) per gli adempimenti relativi alla presente procedura.
\par 
\par Luogo e data
\par }\pard \ltrpar\qc \li0\ri0\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid6892997\charrsid6892997 Firma per esteso___________________________________
\par }\pard \ltrpar\qj \li0\ri484\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin484\lin0\itap0\pararsid6892997 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid6892997                                    }{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 
\par 
\par 
\par 
\par 
\par                                      }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid16260187 Dichiarazione sostitutiva}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid12456729  dell\rquote atto di notoriet\'e0 }{
\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 
\par }\pard \ltrpar\qc \li0\ri484\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin484\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid12456729 (art. 47 D.P.R. 445/2000)
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12456729 (da co}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12456729\hres1\chhres0 m}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12456729 
pletare qualora il candidato intenda }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid12864423 dichiarare il servizio prestato}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid1264043\charrsid12456729 )
\par }\pard \ltrpar\qj \li0\ri484\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin484\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid13592235 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822 Io sottoscritto/a ________________________________________________________ nato/a  il_________________ a ________________________, consapevole, secondo quanto prescritto dall
\rquote art. 76 D.P.R. n. 445/2000, della responsabilit\'e0 penale cui posso andare incontro in caso di d}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822\hres1\chhres0 i}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid1264043\charrsid12201822 chiarazioni mendaci, falsit\'e0 negli atti ed uso di atti falsi, }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 dichiaro:}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 
\b\f1\fs22\insrsid1264043\charrsid13592235 
\par }\pard\plain \ltrpar\s20\ql \li0\ri0\sl360\slmult1\widctlpar\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1264043 \rtlch\fcs1 \ab\af4\afs20\alang1025 \ltrch\fcs0 
\b\f4\fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 - di prestare / avere prestato servizio presso l\rquote Azienda:
\par }{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043 _____________________________________________________________________________}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 
\par }\pard \ltrpar\s20\qj \li0\ri0\sl360\slmult1\widctlpar\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\ai\af1\afs16 \ltrch\fcs0 
\b0\i\f1\fs16\insrsid1264043\charrsid9987983 (indicare l\rquote esatta denominazione dell\rquote Ente/Azienda / Datore di lavoro presso cui l\rquote attivit\'e0 \'e8
 stata prestata, con indirizzo completo, con indicazione se pubblica, privata o accreditata con Servizio Sanitario Nazionale)}{\rtlch\fcs1 \ab0\ai\af1\afs16 \ltrch\fcs0 \b0\i\f1\fs16\insrsid1264043 
\par }{\rtlch\fcs1 \ab0\ai\af1\afs16 \ltrch\fcs0 \b0\i\f1\fs16\insrsid1264043\charrsid9987983 
\par }\pard \ltrpar\s20\ql \li0\ri0\sl360\slmult1\widctlpar\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 
\b0\f1\fs22\insrsid1264043\charrsid9978888 - in qualit\'e0 di:}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043 __________________________________________________________________}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 
\b0\f1\fs22\insrsid1264043\charrsid9978888 
\par }\pard \ltrpar\s20\qc \li0\ri0\sl360\slmult1\widctlpar\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\ai\af1\afs16 \ltrch\fcs0 
\b0\i\f1\fs16\insrsid1264043\charrsid9987983 indicare esattamente la qualifica}{\rtlch\fcs1 \ab0\ai\af1\afs16 \ltrch\fcs0 \b0\i\f1\fs16\insrsid1264043 
\par }{\rtlch\fcs1 \ab0\ai\af1\afs16 \ltrch\fcs0 \b0\i\f1\fs16\insrsid1264043\charrsid9987983 
\par }\pard \ltrpar\s20\qj \li0\ri0\sl360\slmult1\widctlpar\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043 
- nella disciplina di: ______________________________________________________________}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid10492418 
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f10\fs22\insrsid1264043\charrsid9978888 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}\pard \ltrpar\s20\ql \fi-360\li360\ri0\sl360\slmult1\widctlpar
\jclisttab\tx360\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin360\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 {\field{\*\fldinst SYMBOL
 114 \\f "Wingdings" \\s 11}{\fldrslt\f10\fs22}}}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888  a tempo indeterminato, }{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 
{\field{\*\fldinst SYMBOL 114 \\f "Wingdings" \\s 11}{\fldrslt\f10\fs22}}}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888   a tempo determinato, }{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 
\b0\f1\fs22\insrsid1264043\charrsid9978888 {\field{\*\fldinst SYMBOL 114 \\f "Wingdings" \\s 11}{\fldrslt\f10\fs22}}}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 
  con contratto di lavoro stipulato con agenzia interinale ______________________________________________________________________,  
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f10\fs22\insrsid1264043\charrsid9978888 \loch\af10\dbch\af0\hich\f10 \'72\tab}}\pard \ltrpar\s20\ql \fi-360\li720\ri0\sl360\slmult1\widctlpar
\jclisttab\tx720\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\ls1\ilvl1\adjustright\rin0\lin720\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 contra
tto  libero prof.le,    }{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 {\field{\*\fldinst SYMBOL 114 \\f "Wingdings" \\s 11}{\fldrslt\f10\fs22}}}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 
\b0\f1\fs22\insrsid1264043\charrsid9978888   borsista.    }{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 {\field{\*\fldinst SYMBOL 114 \\f "Wingdings" \\s 11}{\fldrslt\f10\fs22}}}{\rtlch\fcs1 \ab0\af1\afs22 
\ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 volontario,   }{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 {\field{\*\fldinst SYMBOL 114 \\f "Wingdings" \\s 11}{\fldrslt\f10\fs22}}}{\rtlch\fcs1 \ab0\af1\afs22 
\ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888   ricercatore, 
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f10\fs22\insrsid1264043\charrsid9978888 \loch\af10\dbch\af0\hich\f10 \'72\tab}altro: ___________________________________________________
\par }\pard \ltrpar\s20\qc \li0\ri0\sl360\slmult1\widctlpar\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\ai\af1\afs16 \ltrch\fcs0 
\b0\i\f1\fs16\insrsid1264043\charrsid9987983 indicare la tipologia del rapporto di lavoro
\par }\pard \ltrpar\s20\ql \li360\ri0\sl360\slmult1\widctlpar\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 
\b0\f1\fs22\insrsid1264043\charrsid9978888 
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \ai\af1\afs22 \ltrch\fcs0 \f10\fs22\insrsid1264043 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}\pard \ltrpar\s20\ql \fi-360\li360\ri0\sl360\slmult1\widctlpar
\jclisttab\tx360\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin360\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\ai\af1\afs22 \ltrch\fcs0 \b0\i\f1\fs22\insrsid1264043 
disciplina_________________________________________________________________}{\rtlch\fcs1 \ab0\ai\af1\afs22 \ltrch\fcs0 \b0\i\f1\fs22\insrsid1264043\charrsid6508680 
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f10\fs22\insrsid1264043\charrsid9978888 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}{\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 
con impegno orario settimanale di ore _____________ }{\rtlch\fcs1 \ab0\ai\af1\afs22 \ltrch\fcs0 \b0\i\f1\fs22\insrsid1264043\charrsid9978888 indicare l\rquote impegno orario settimanale
\par }\pard \ltrpar\s20\ql \li0\ri0\sl360\slmult1\widctlpar\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\ai\af1\afs22 \ltrch\fcs0 
\b0\i\f1\fs22\insrsid1264043\charrsid9978888 
\par {\listtext\pard\plain\ltrpar \s20 \rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f10\fs22\insrsid1264043\charrsid9978888 \loch\af10\dbch\af0\hich\f10 \'d8\tab}}\pard \ltrpar\s20\ql \fi-360\li360\ri0\sl360\slmult1\widctlpar
\jclisttab\tx360\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin360\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 \b0\f1\fs22\insrsid1264043\charrsid9978888 
dal  ___________________________ al _________________________
\par }\pard \ltrpar\s20\ql \li360\ri0\sl360\slmult1\widctlpar\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\af1\afs22 \ltrch\fcs0 
\b0\f1\fs22\insrsid1264043\charrsid9978888 dal  ___________________________ al _________________________
\par dal  ___________________________ al _________________________ 
\par dal  ___________________________ al _________________________
\par }\pard \ltrpar\s20\qc \li0\ri0\sl360\slmult1\widctlpar\tldot\tx3544\tldot\tx8789\tldot\tx9356\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab0\ai\af1\afs16 \ltrch\fcs0 
\b0\i\f1\fs16\insrsid1264043\charrsid9987983 indicare esattamente la data di inizio e di conclusione dell\rquote attivit\'e0 (gg/mm/aa)  indicando eventuali interruzioni (aspettative senza assegni, sospensioni cautelari ecc.)}{\rtlch\fcs1 
\ab0\ai\af1\afs16 \ltrch\fcs0 \b0\i\f1\fs16\insrsid1264043 
\par }{\rtlch\fcs1 \ab0\ai\af1\afs16 \ltrch\fcs0 \b0\i\f1\fs16\insrsid1264043\charrsid9987983 
\par }\pard\plain \ltrpar\qj \li0\ri484\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin484\lin0\itap0\pararsid1264043 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {
\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822 Dichiaro, altres\'ec, di essere informato, ai sensi delle disposizioni vigenti, che i dati forniti con la pr}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid1264043\charrsid12201822\hres1\chhres0 e}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822 sente dichiarazione saranno raccolti presso la S.C. Gestione e Formazione del Personale e sara}{\rtlch\fcs1 \af1\afs22 
\ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822\hres1\chhres0 n}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822 no trattati, anche con strumenti informatici, nell\rquote 
ambito del procedimento concorsuali per il quale vengono resi, ovvero nel caso di costituzione del rapporto di lavoro, per le finalit\'e0 inerenti alla gestione del rappo}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid1264043\charrsid12201822\hres1\chhres0 r}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822 to stesso.
\par 
\par Luogo ________________, data __________________  
\par 
\par }\pard \ltrpar\qc \li0\ri484\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin484\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822 
il dichiarante ___________________________
\par }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid1264043\charrsid12201822                         (allegare fotocopia documento di identit\'e0)
\par }\pard \ltrpar\qj \li0\ri484\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin484\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid13592235 
\par }\pard \ltrpar\qc \li0\ri484\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin484\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid16260187 Dichiarazione sostitutiva}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid12456729  dell\rquote atto di notoriet\'e0 }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 
\b\f1\fs22\insrsid1264043 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid16524632 (art}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1923501\charrsid16524632 t}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid16524632 
. 47 }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1923501\charrsid16524632 e 38 }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid16524632 D.P.R. 445/2000)
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12456729 (da co}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12456729\hres1\chhres0 m}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12456729 
pletare qualora il candidato intenda }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043 dichiarare la conformit\'e0 agli originali}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12456729 )
\par }\pard \ltrpar\qj \li0\ri484\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin484\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid13592235 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822 Io sottoscritto/a ________________________________________________________ nato/a  il_________________ a ________________________, consapevole, secondo quanto prescritto dall
\rquote art. 76 D.P.R. n. 445/2000, della responsabilit\'e0 penale cui posso andare incontro in caso di d}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822\hres1\chhres0 i}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid1264043\charrsid12201822 chiarazioni mendaci, falsit\'e0 negli atti ed uso di atti falsi, dichiaro }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043 che le copie dei seguenti documenti:}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid1264043\charrsid12201822 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid13592235 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid13592235 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 
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\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid11941293 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid11941293 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid11941293 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid11941293 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid11941293 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9980134 _}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid11941293 
\par 
\par }{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043 Sono conformi agli originali (dichiarare se in proprio possesso o depositati presso_____________)}{\rtlch\fcs1 \ab\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1264043\charrsid13592235 
\par 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822 
\par Luogo ________________, data __________________  
\par 
\par }\pard \ltrpar\qc \li0\ri484\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin484\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1264043\charrsid12201822 
il dichiarante ___________________________
\par }\pard \ltrpar\qj \li0\ri-82\widctlpar\tx7088\tx7230\tx8222\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-82\lin0\itap0\pararsid1264043 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid1264043\charrsid12201822 
                        (allegare fotocopia}{\rtlch\fcs1 \ab\af1 \ltrch\fcs0 \b\f1\insrsid1264043 
\par 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid723376 
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