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\'e8 cittadino italiano altro (indicare quale) _______________________________________________}{\insrsid2687326 \par }{\f1\insrsid2687326 }{\f1\insrsid15077159 \par }{\f1\insrsid2687326 - \'e8 residente a ___________________________}{\f1\insrsid14370930 ________________________________________}{\f1\insrsid2687326 _ (Prov._____) }{\f1\insrsid14370930 \par \par }{\f1\insrsid2687326 in Via/Piazza ____________________________}{\insrsid14370930 ______________________________________________ N\'b0 _______}{\f1\insrsid2687326 \par \par }{\insrsid2687326 }{\f1\insrsid2687326 telefono _________________________ cellulare ___________________}{\f1\insrsid14370930 ______}{\f1\insrsid2687326 __; \par }{\insrsid2687326 \par }{\cf1\insrsid2687326 }{\f1\cf1\insrsid2687326 - proviene dalla scuola __________________________________________ ove nell'a.s. ___________________ \par \par }{\b\f1\insrsid2687326 }{\f1\cf1\insrsid2687326 frequenta o ha frequentato la classe______________sez.______specializzazione______________________ \par }{\f1\cf1\insrsid15077159 \par }{\f1\insrsid2687326 - lingua/e straniera/e studiata/e: _________________________________________________________________ \par }{\f1\cf1\insrsid15077159 \par }\pard\plain \s18\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15077159 \f1\fs20\cf1\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\insrsid2687326 - che la propria famiglia convivente \'e8 composta da: \par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\cf1\insrsid2687326 }{\f1\cf1\insrsid2687326 ______________________________ ________________________________ __________________________ \par ______________________________ ________________________________ __________________________ \par ______________________________ ________________________________ __________________________ \par ______________________________ ________________________________ __________________________ \par ______________________________ ________________________________ __________________________ \par ______________________________ ________________________________ __________________________}{\cf1\insrsid2687326 \par }{\f1\fs16\cf1\insrsid2687326 Cognome e nome luogo e data di nascita Relazione di parentela \par }{\f1\fs18\cf1\lang1024\langfe1024\noproof\insrsid2687326 {\shp{\*\shpinst\shpleft5113\shptop110\shpright5397\shpbottom394\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz13\shplid1064 {\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8205\dprect\dpx5113\dpy110\dpxsize284\dpysize284 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs16\cf1\lang1024\langfe1024\noproof\insrsid2687326 {\shp{\*\shpinst\shpleft4261\shptop110\shpright4545\shpbottom394\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz12\shplid1063{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8204\dprect\dpx4261\dpy110\dpxsize284\dpysize284 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs16\cf1\insrsid2687326 \par }{\f1\fs18\cf1\insrsid2687326 - \'e8 stato sottoposto alle vaccinazioni obbligatorie si no}{\f1\cf1\insrsid2687326 \par }{\fs18\cf1\insrsid2687326 }{\f1\fs18\cf1\insrsid2687326 - il reddito imponibile del nucleo familiare }{\b\f1\fs18\cf1\insrsid2687326 (rilevabile dall'ultima dichiarazione dei redditi) }{\f1\fs18\cf1\insrsid2687326 \'e8 di }{ \b\f1\fs28\cf1\insrsid2687326 \'80}{\f1\fs18\cf1\insrsid2687326 ______________________ \par }{\i\f1\fs18\cf1\insrsid2687326 (}{\i\f1\fs16\cf1\insrsid2687326 Dichiarazione da rilasciare solo ove ricorrano le condizioni per usufruire dell'esonero delle tasse scolastiche o di altre agevolazioni previste). \par }\pard \qj \li10\ri0\nowidctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin10\itap0 {\i\f1\fs16\cf1\insrsid2687326 }{\b\f1\fs18\cf1\insrsid2687326 L\rquote ESONERO NON E\rquote PREVISTO PER LA TASSA \'93CONTRIBUTI VARI\'94 \par }{\b\f1\fs16\cf1\insrsid2687326 \par }\pard \qj \li10\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0 {\f1\fs18\cf1\insrsid2687326 ALLEGA:}{\f1\fs16\cf1\insrsid2687326 \par }\pard \qj \li10\ri0\sl480\slmult1\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0 {\f1\fs18\cf1\lang1024\langfe1024\noproof\insrsid2687326 {\shp{\*\shpinst\shpleft143\shptop51\shpright285\shpbottom193\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz6\shplid1055{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8198\dprect\dpx143\dpy51\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs18\cf1\insrsid2687326 Ricevuta del versamento di \'80 6,04 (tassa immatricolazione) * sul c/c 1016 intestato a: Agenzia delle entrate \endash C.O. di Pescara \par }{\f1\fs18\cf1\lang1024\langfe1024\noproof\insrsid2687326 {\shp{\*\shpinst\shpleft147\shptop21\shpright289\shpbottom163\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz7\shplid1056 {\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8199\dprect\dpx147\dpy21\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs18\cf1\insrsid2687326 Ricevuta del versamento di \'80 15,13 (tassa frequenza) sul c/c 1016 intestato a: Agenzia delle entrate \endash C.O. di Pescara \par }\pard \qj \li10\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0 {\f1\fs18\cf1\lang1024\langfe1024\noproof\insrsid2687326 {\shp{\*\shpinst\shpleft143\shptop3\shpright285\shpbottom145\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz8\shplid1057{\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}} {\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8200\dprect\dpx143\dpy3\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs18\cf1\insrsid2687326 Ricevuta del versamento di \'80 _________ (contributi vari) sul c/c 15580095 intestato a I.P.I.A. "G. Ferraris" \endash Iglesias \par }\pard \ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 {\f1\fs18\cf1\insrsid2687326 (}{\f1\fs16\cf1\insrsid2687326 \'80 33,00 per l\rquote indirizzo alberghiero - \'80 28,00 per tutti gli altri indirizzi) \par }{\f1\fs18\cf1\insrsid2687326 \par }{\cf1\insrsid2687326 }{\f1\cf1\insrsid15077159 }{\f1\cf1\insrsid2687326 Data_______________________________ }{\cf1\insrsid2687326 }{\f1\cf1\insrsid2687326 Firma}{\b\f1\cf1\insrsid2687326 ________________________________________}{\b\cf1\insrsid2687326 }{\cf1\insrsid2687326 \par }{\fs18\cf1\insrsid2687326 }{\fs16\cf1\insrsid2687326 Firma di autocertificazione (Leggi 15/98 127/97 131/98) da sottoscrivere \par al momento della presentazione della domanda all\rquote impiegato della scuola \par }\pard\plain \s17\ql \li230\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin230\itap0 \f1\fs18\cf1\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\f0\insrsid2687326 * }{\f0\fs16\insrsid2687326 dovuta da chi si iscrive alla classe seconda per la prima volta}{\f0\insrsid2687326 \par }{\fs16\lang1024\langfe1024\noproof\insrsid2687326 {\shp{\*\shpinst\shpleft54\shptop176\shpright10674\shpbottom1388\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz11\shplid1060 {\sp{\sn shapeType}{\sv 1}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}{\sp{\sn fLayoutInCell}{\sv 0}}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8203\dprect\dpx54\dpy176\dpxsize10620\dpysize1212 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f0\insrsid2687326 \par }\pard \s17\qj \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid5520263 {\fs20\insrsid5520263 }{\insrsid5520263\charrsid5520263 Il sottoscritto dichiara di essere consapevole che la scuola pu\'f2 utilizzare i dati contenuti nella presente \par autocertificazione esclusivamente nell'ambito e per i fini istituzionali propri della P. A.(D.Leg.vo 30 giugno 2003, n.196).}{\insrsid5520263 \par }{\fs20\insrsid5520263 \par }\pard\plain \qj \li10\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0\pararsid5520263 \fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\cf1\insrsid5520263 Data_______________________________ Firma}{\b\cf1\insrsid5520263 ______________________________________}{\f1\insrsid5520263 \par }}