application venice school
DESCRIPTION
Application Venice School 2015TRANSCRIPT
Application Venice School 2015
Title: Mr./MsName:Surname:Gender: Nationality: Date of Birth: Place of Birth: Visa needed: Yes/NoAccommodation needed: Yes/NoDietary Requirements: None/vegetarian/veganSpecial dietary/medical needs: Actual Position: E-mail: Permanent Address for invoice purposes:Phone: Mobile: Cluster:Motivation: Payment will be made by: me personally/my employerFiscal Code/Personal Identification Number: VAT: If payment is made by your employer, please specify the following information:Company name: Company Address: VAT Number:Companys Fiscal Code (if applicable):Privacy (Do you accept EIUC Privacy Policy Information Brief for Visitors as described at http://www.eiuc.org/privacy-policy.html?): Yes/No
HUMAN RIGHTS VILLAGEMonastery of San Nicol | Riviera San Nicol 26 30126 Venezia Lido (Italy)Tel: +39 041 2720911 | Fax: +39 041 2720914 | Email: [email protected] | Web site: www.eiuc.org