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The undersigned

Granted that
1. has already read carefully and understood in all its parts, the information note according to article 13 Leg. Decree 196/2003; 2. is fully aware of his own rights according to article 7 Leg. Decree 196/2003; 3. acts in complete freedom and without any conditioning and/or psychological pressure; that being stated

Expresses his/her full consent
to the collection and treatment of his/her own personal, common and in some cases also sensitive, data, necessary to the purposes of point a) of the above mentioned information note.

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