UNIVERSITA’ DEGLI STUDI DI GENOVA

SCHEDA ANAGRAFICA COMMISSARI ESTERNI PER RILASCIO CREDENZIALI

COGNOME______________________________________________________________________________
NOME__________________________________________________________________________________
NATO/A  A______________________________________________________________________________
IL______________________________________________________________________________________
CODICE FISCALE__________________________________________________________________________
IN SERVIZIO DI RUOLO PRESSO L’UNIVERSITA’ DI _______________________________________________
CON LA QUALIFICA DI _____________________________________________________________________
SETTORE SCIENTIFICO DISCIPLINARE_________________________________________________________
RESIDENTE IN____________________________________________________________________________
VIA____________________________________________________________________________________
CAP____________________________________________________________________________________
DOMICILIO FISCALE (se diverso dalla residenza) 
CITTA’ __________________________________________________________________________________
VIA____________________________________________________________________________________
CAP____________________________________________________________________________________
RECAPITO TELEFONO CELLULARE * _________________________________________________________
E-MAIL *  ______________________________________________________________________________
(*DATI ENTRAMBI NECESSARI PER IL RILASCIO DELLE CREDENZIALI PER L’ACCESSO AL SITO CONCORSI)