APPLICATION to be admitted to the selection of 5 candidates for international mobility through agreements aimed to carry out a study period of one academic year, during the a.y. 2023/2024, at the University of Paris Sciences et Lettres (France) to obtain the Master in Integrative Chemistry and Innovation issued by the same University
				
To the President of the School of Mathematical, Physical and Natural Sciences
 University of Florence

The undersigned ______________________________________matricola nr.  ______________ 
place of birth  __________________________________ date of birth _______________________
codice fiscale__________________________________________________________________
e-mail  ______________________@stud.unifi.it, cell phone ___________________________

pursuant to and for the purposes of D.P.R. 445 of 28/12/2000, aware of the criminal liability that may be incurred in the event of a false declaration and the forfeiture of any benefits resulting from the provision issued on the basis of the untruthful statement:

DECLARES

•	to be regularly enrolled, on a full-time basis, for the a.y. 2022/23 in the first year of one of the following Master’ Degree Courses (DM 270/04): 
	Scienze Chimiche (LM-54)
    Advanced Molecular Sciences (LM-54);
•	to undertake to regularize the enrolment in the a. y. 2023/24 before departure;
•	to possess the requisites described in art. 3 of the call to participate to the international mobility through agreements aimed at the recognition of the double degree.

ASKS
to be admitted to the selection of 5 candidates for international mobility through agreements aimed to carry out a study period of one academic year, during the a.y. 2023/2024, at the University of Paris Sciences et Lettres (France) to obtain the Master Integrative Chemistry and Innovation issued by the same University.
To this end, he/she attach the following documentation:
1.	Learning Agreement;
2.	Self-certification with weighted average of the exams taken in the Bachelor’s Degree course
3.	Self-certification with weighted average of the exams taken in the Master’s Degree course
4.	Motivation Letter, countersigned by a teacher of the University of Florence
5.	Photocopy of a valid identity document
6.	Other (specify): ____________________________________________

Date: ………………………………….		Signature  ....………………………………..

The undersigned/ a declares, pursuant to art. 47, 38 and 19 of the D.P.R. 28.12.2000 n.445, that the documents sent with the present application for participation are conforms to the original.

The candidate acknowledges that the processing of their personal and sensitive data will take place in accordance with the procedures established by EU Regulation 2016/679 (GDPR) on the protection of individuals with regard to the processing of personal data.

The candidate also takes note that the curriculum vitae et studiorum and the declarations made for which, pursuant to current legislation, compliance with transparency obligations is required, will be published on the website of the Administration in the appropriate section of "Transparent Administration" and will be processed for the purposes of managing the selective procedure.

Date: ………………………………….		Signature        ………………………………