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\par }\pard \ql \li90\ri0\sl280\slmult0\nowidctlpar\wrapdefault\faauto\rin0\lin90\itap0 {\f1\fs28\cf1\insrsid7023213 Al Dirigente Scolastico dell'Istituto Professionale. 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\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\cf1\insrsid7023213 TECNICO DELLE INDUSTRIE ELETTRICHE TECNICO DEI SERVIZI DELLA RISTORAZIONE \par }{\b\f1\cf1\lang1024\langfe1024\noproof\insrsid7023213 {\shp{\*\shpinst\shpleft5487\shptop25\shpright5629\shpbottom167\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz2\shplid1028 {\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\dodhgt8194\dprect\dpx5487\dpy25\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}} {\shp{\*\shpinst\shpleft269\shptop27\shpright411\shpbottom169\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz3\shplid1029{\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\dodhgt8195\dprect\dpx269\dpy27\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\cf1\insrsid7023213 TECNICO DELLE INDUSTRIE ELETTRONICHE TECNICO DEI SERVIZI TURISTICI \par }{\b\f1\cf1\lang1024\langfe1024\noproof\insrsid7023213 {\shp{\*\shpinst\shpleft271\shptop26\shpright413\shpbottom168\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz4\shplid1030 {\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\dodhgt8196\dprect\dpx271\dpy26\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\cf1\insrsid7023213 TECNICO DELLE INDUSTRIE MECCANICHE \par }{\lang1024\langfe1024\noproof\insrsid7023213 {\shp{\*\shpinst\shpleft-126\shptop61\shpright10651\shpbottom10861\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz13\shplid1039 {\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\dodhgt8205\dprect \dpx-126\dpy61\dpxsize10777\dpysize10800\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\cf1\insrsid7023213 \par }\pard\plain \s15\ql \li300\ri0\sl360\slmult1\nowidctlpar\wrapdefault\faauto\rin0\lin300\itap0 \f1\fs18\cf1\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\insrsid7023213 A tal fine dichiara, in base alle norme sullo snellimento dell'attivit\'e0 amministrativa e consapevole delle responsabilit\'e0 cui va incontro in caso di dichiarazione non corrispondente al vero che \par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\f1\insrsid7023213 - l'alunn_ __________________________________________________________________________________ \par }{\f1\fs16\cf1\insrsid7023213 Cognome e nome Codice fiscale \par }{\f1\insrsid7023213 }{\f1\insrsid1125841 }{\f1\insrsid7023213 \'e8 nat_ a ________________________________________ Prov. (_______) il ________________________ \par }{\f1\lang1024\langfe1024\noproof\insrsid7023213 {\shp{\*\shpinst\shpleft3161\shptop165\shpright3445\shpbottom449\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz9\shplid1035 {\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\dodhgt8201\dprect\dpx3161\dpy165\dpxsize284\dpysize284 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}} {\shp{\*\shpinst\shpleft2161\shptop165\shpright2445\shpbottom449\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz8\shplid1034{\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\dpx2161\dpy165\dpxsize284\dpysize284 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\insrsid7023213 \par }{\f1\insrsid1125841 }{\f1\insrsid7023213 - \'e8 cittadino italiano altro (indicare quale) ______________________________________________ \par \par }\pard \ql \li300\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin300\itap0\pararsid1125841 {\f1\insrsid1125841 - }{\f1\insrsid7023213 \'e8 residente a _____________________}{\f1\insrsid1125841 __________________________________}{ \f1\insrsid7023213 __________ (Prov.___}{\f1\insrsid1125841 __}{\f1\insrsid7023213 __)}{\f1\insrsid1125841 \par \par }{\f1\insrsid7023213 in Via/Piazza ______________________}{\f1\insrsid1125841 __________________________________________}{\f1\insrsid7023213 __}{\f1\insrsid1125841 N\'b0 ________}{\f1\insrsid7023213 \par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\insrsid7023213 \par telefono ___________________________}{\f1\insrsid1125841 cellulare ___________________________ ; }{\f1\insrsid7023213 \par \par }{\f1\cf1\insrsid7023213 - proviene dalla scuola ________________________________________ ove nell'a.s. ____________________ \par \par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1\insrsid7023213 }{\f1\cf1\insrsid7023213 frequenta o ha frequentato la classe_________sez. ____________specializzazione____________________ \par }{\f1\insrsid7023213 - lingua/e straniera/e studiata/e: _______________________________________________________________}{\f1\cf1\insrsid7023213 \par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\cf1\insrsid7023213 - che la propria famiglia convivente \'e8 composta da: \par }\pard \ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 {\cf1\insrsid7023213 ________________________________ ______________________________________ ____________________________ \par }\pard \ql \li0\ri0\sl65\slmult0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 {\cf1\insrsid7023213 ________________________________ ______________________________________ ____________________________ \par ________________________________ ______________________________________ ____________________________ \par ________________________________ ______________________________________ ____________________________ \par ________________________________ ______________________________________ ____________________________ \par ________________________________ ______________________________________ ____________________________ \par }\pard \ql \li0\ri0\sl360\slmult1\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 {\f1\fs16\cf1\insrsid7023213 Cognome e nome luogo e data di nascita Relazione di parentela \par }{\f1\fs18\cf1\lang1024\langfe1024\noproof\insrsid7023213 {\shp{\*\shpinst\shpleft4829\shptop18\shpright4971\shpbottom160\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz17\shplid1045 {\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\dodhgt8209\dprect\dpx4829\dpy18\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}} {\shp{\*\shpinst\shpleft4179\shptop18\shpright4321\shpbottom160\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz16\shplid1044{\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\dodhgt8208\dprect\dpx4179\dpy18\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs18\cf1\insrsid7023213 - \'e8 stato sottoposto alle vaccinazioni obbligatorie si no}{ \f1\cf1\insrsid7023213 \par }\pard \ql \li10\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0 {\fs18\cf1\insrsid7023213 }{\f1\fs18\cf1\insrsid7023213 - il reddito imponibile del nucleo familiare }{\b\f1\fs18\cf1\insrsid7023213 (rilevabile dall'ultima dichiarazione dei redditi) }{\f1\fs18\cf1\insrsid7023213 \'e8 di }{\b\f1\fs28\cf1\insrsid7023213 \'80}{\f1\fs18\cf1\insrsid7023213 ________________________ \par }\pard \qj \li10\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0 {\f1\fs18\cf1\insrsid7023213 }{\i\f1\fs18\cf1\insrsid7023213 (}{\i\f1\fs16\cf1\insrsid7023213 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 {\b\f1\fs18\cf1\insrsid7023213 L\rquote ESONERO NON E\rquote PREVISTO PER LA TASSA \'93CONTRIBUTI VARI\'94 \par }\pard \qj \li10\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0 {\b\i\f1\fs16\cf1\insrsid7023213 \par }\pard \qj \li10\ri0\sl480\slmult1\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0 {\f1\fs18\cf1\insrsid7023213 ALLEGA: \par }\pard \qj \li10\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0 {\f1\fs16\cf1\lang1024\langfe1024\noproof\insrsid7023213 {\shp{\*\shpinst\shpleft503\shptop23\shpright645\shpbottom165\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz15\shplid1043{\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\dodhgt8207\dprect\dpx503\dpy23\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs18\cf1\insrsid7023213 }{\f1\fs16\cf1\insrsid7023213 Ricevuta del versamento di \'80 28,00 (contributi vari) sul c/c 15580095 intestato a I.P.I.A. "G. Ferraris" \endash Iglesias \par }{\f1\fs16\cf1\lang1024\langfe1024\noproof\insrsid7023213 {\shp{\*\shpinst\shpleft507\shptop21\shpright649\shpbottom163\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz10\shplid1036 {\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\dodhgt8202\dprect\dpx507\dpy21\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs16\cf1\insrsid7023213 Ricevuta del versamento di \'80 15,13 (tassa freq uenza) sul c/c 1016 intestato a: Agenzia delle entrate \endash C.O. di Pescara \par \par }\pard \qj \li10\ri0\sl480\slmult1\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0 {\f1\fs16\cf1\insrsid7023213 }{\b\f1\fs18\ul\cf1\insrsid13706304\charrsid6894719 CONSEGNERA}{\b\f1\fs16\ul\cf1\insrsid13706304\charrsid6894719 \rquote }{ \b\f1\fs18\ul\cf1\insrsid13706304 DOPO IL CONSEGUIMENTO DELLA QUALIFICA }{\b\f1\fs18\ul\cf1\insrsid13706304\charrsid6894719 ENTRO IL 30 GIUGNO 200}{\b\f1\fs18\ul\cf1\insrsid13706304 8 }{\b\f1\fs18\ul\cf1\insrsid2116115 *}{ \b\f1\fs18\ul\cf1\insrsid7023213\charrsid6894719 \par }\pard \ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 {\f1\fs16\cf1\lang1024\langfe1024\noproof\insrsid7023213 {\shp{\*\shpinst\shpleft503\shptop3\shpright645\shpbottom145\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz11\shplid1037{\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\dodhgt8203\dprect\dpx503\dpy3\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs16\cf1\insrsid7023213 Ricevuta del versamento di \'80 6,04 (tassa immatricolazione) 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\fs16\cf1\lang1024\langfe1024\noproof\insrsid7023213 {\shp{\*\shpinst\shpleft503\shptop21\shpright645\shpbottom163\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz18\shplid1048{\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\dodhgt8210\dprect\dpx503\dpy21\dpxsize142\dpysize142 \dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f1\fs16\cf1\insrsid7023213 Ricevuta del versamento di \'80 15,13 (tassa diploma qualifica) sul c/c 1016 intestato a: Agenzia delle entrate \endash C.O. di Pescara \par \par }\pard \ql \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0 {\cf1\insrsid7023213 Data_______________________________ Firma}{\b\cf1\insrsid7023213 ______________________________________________ }{\cf1\insrsid7023213 \par }{\fs18\cf1\insrsid7023213 }{\fs16\cf1\insrsid7023213 Firma di autocertificazione (Leggi 15/98 127/97 131/98) da sottoscrivere \par al momento della presentazione della domanda all'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\insrsid7023213 * }{\fs16\insrsid7023213 dovute solo da chi si iscrive alla classe quarta per la prima volta \par \par }{\fs16\lang1024\langfe1024\noproof\insrsid1125841 {\shp{\*\shpinst\shpleft-126\shptop175\shpright10651\shpbottom1393\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz14\shplid1040 {\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\dodhgt8206\dprect \dpx-126\dpy175\dpxsize10777\dpysize1218\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\f0\insrsid7023213 \par }\pard \s17\qj \li0\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid6113604 {\fs20\insrsid6113604 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). \par }\pard\plain \qj \li10\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0\pararsid6113604 \fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\f1\insrsid6113604 \par }\pard \qj \li10\ri0\nowidctlpar\wrapdefault\faauto\rin0\lin10\itap0 {\f1\insrsid7023213 }{\cf1\insrsid7023213 Data_______________________________ Firma}{\b\cf1\insrsid7023213 ______________________________________}{ \f1\insrsid7023213 \par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\insrsid7023213 \par \par }}