ࡱ> [bjbj$$>FkiFki37$7$$$$$$$8$LC%,$ONo&o&&&&99 '9ΠРРРРРР$SV$/9m8m8/9/97$7$&& <<</97$&7$R&(Π</9Π<<F($"ȓ& jz9T0OddK:HȓȓB$ /9/9</9/9/9/9/9;0/9/9/9O/9/9/9/9/9/9/9/9/9/9/9/9/9Y ":DICHIARAZIONE SOSTITUTIVA DI CERTIFICAZIONE ATTESTANTE IL POSSESSO DEI TITOLI ARTISTICO CULTURALI E PROFESSIONALI Il/La sottoscritto/aNato/a ailCodice FiscaleResidente aVia/piazzaconsapevole delle sanzioni penali richiamate dall'art. 76 del D.P.R. n. 445/2000 in caso di dichiarazioni mendaci, ai sensi e per gli effetti dell'art. 46 del citato D.P.R. dichiara sotto la propria responsabilit di possedere i seguenti titoli di Studio e Artistico-culturale e professionali (la sottoscrizione di ogni pagina prodotta obbligatoria, a pena di esclusione): TITOLI DI STUDIO ULTERIORI Diploma accademico di I livello rilasciato dalle Istituzioni statali e non statali di cui allart. 1 della legge 508/1999, dalle Istituzioni di cui allart. 11 del DPR 212/2005 riconosciute dal Ministero, o titolo di studio equivalente rilasciato da Istituzioni di istruzione superiore estere, laurea triennale rilasciata da Universit statali o non statali legalmente riconosciute o titolo equipollente. - Denominazione _________________________________________________________________________ conseguito il _____/______/_________ presso _________________________________________ Denominazione _________________________________________________________________________ conseguito il _____/______/_________ presso __________________________________________________ Diploma del previgente ordinamento* o diploma accademico di II livello rilasciato dalle Istituzioni statali e non statali di cui allart. 1 della legge 508/1999, dalle Istituzioni di cui allart. 11 del DPR 212/2005 riconosciute dal Ministero, o titolo di studio equivalente rilasciato da Istituzioni di istruzione superiore estere, laurea magistrale (biennale, a ciclo unico o vecchio ordinamento) rilasciata da Universit statali o non statali legalmente riconosciute o titolo equipollente. Denominazione _________________________________________________________________________ conseguito il _____/______/_________ presso __________________________________________________ Denominazione _________________________________________________________________________ conseguito il _____/______/_________ presso __________________________________________________ (luogo e data)(firma del dichiarante) Dottorato di ricerca rilasciato da Universit statali e non statali legalmente riconosciute, italiane ed estere o titoli di cui allart. 3, comma 1, lett. d), del DPR 212/2005. - Denominazione _________________________________________________________________________ conseguito il _____/______/_________ presso __________________________________________________ Denominazione _________________________________________________________________________ conseguito il _____/______/_________ presso __________________________________________________ Master di I o II livello o titolo di specializzazione o perfezionamento rilasciato dalle Istituzioni statali e non statali di cui allart. 1 della legge 508/1999, dalle Istituzioni di cui allart. 11 del DPR 212/2005 riconosciute dal Ministero, rilasciato da Istituzioni di istruzione superiore estere, da Universit statali o non statali legalmente riconosciute, compreso ogni altro titolo di specializzazione o perfezionamento post lauream di cui allart. 3, comma 1, lett. c) ed e), del DPR 212/2005 . - Denominazione _________________________________________________________________________ conseguito il _____/______/_________ presso __________________________________________________ Denominazione _________________________________________________________________________ conseguito il _____/______/_________ presso __________________________________________________ (luogo e data)(firma del dichiarante) TITOLI ARTISTICI DICHIARA di possedere i titoli artistico culturali e professionali descritti nel seguente elenco numerato: N.Elenco titoli artistico-professionali descrizione dettagliata (Saranno valutati i primi 20 titoli elencati, nellordine presentato dal candidato; non saranno prese in considerazione le voci cumulative. Se il candidato presenta un numero di titoli superiore a quello fissato, la Commissione preposta terr conto soltanto dei titoli elencati fino alla concorrenza del limite sopra indicato. Eventuali titoli non attinenti non saranno valutati ma concorreranno al conteggio del numero massimo previsto)1234567891011121314151617181920 Con riferimento alle pubblicazioni presenti nellelenco di cui sopra, il sottoscritto dichiara la loro conformit alla vigente normativa sulleditoria. 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