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\par }{\f1\fs20\insrsid12402033\charrsid16528951  }{\b\f1\fs20\cf1\insrsid12192887 Allegato 2                                        }{\b\f1\fs20\cf1\insrsid12402033\charrsid16528951  All\rquote Ufficio comunale di Censimento del Comune di }{
\b\f1\fs20\cf1\insrsid16608563\charrsid16528951 Arnesano}{\b\f1\fs20\cf1\insrsid12402033\charrsid16528951  }{\f1\fs20\cf1\insrsid12402033\charrsid16528951 
\par }{\b\f1\fs20\cf1\insrsid16608563\charrsid16528951 
\par }{\b\f1\fs20\cf1\insrsid12402033\charrsid16528951 OGGETTO: Avviso pubblico per la presentazione di candidature per la selezione }{\b\f1\fs20\cf1\insrsid11610569 di n. 1}{\b\f1\fs20\cf1\insrsid12402033\charrsid16528951  rilevator}{
\b\f1\fs20\cf1\insrsid11610569 e}{\b\f1\fs20\cf1\insrsid12402033\charrsid16528951  per il 6\'b0 Censimento generale dell\rquote agricoltura \endash  ottobre 2010 /gennaio 2011 }{\f1\fs20\cf1\insrsid12402033\charrsid16528951 
\par }{\f1\fs20\insrsid12402033\charrsid16528951  
\par }\pard \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608563 {\b\f1\fs22\insrsid12402033\charrsid16528951 DOMANDA DI PARTECIPAZIONE
\par }{\f1\fs22\insrsid16608563\charrsid16528951 
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608563 {\f1\fs20\insrsid12402033\charrsid16528951 Il/La sottoscritto/a ________________________________________________________________, nato/a a __________________
}{\f1\fs20\insrsid16608563\charrsid16528951 ___}{\f1\fs20\insrsid12402033\charrsid16528951 ____il ___/___/______, residente a __________________________ (Prov.___________) in Via ___________________________________________ n\'b0
____________ Tel. fisso ____________________ Tel. Cell. ___________________________________________ 
\par  
\par }{\b\f1\fs20\insrsid12402033\charrsid16528951 e-mail: _________________________________________________________________________ 
\par }{\f1\fs20\insrsid16608563\charrsid16528951 
\par }{\f1\fs20\insrsid12402033\charrsid16528951 consapevole di quanto contenuto nell\rquote art. 76 T.U. 28/12/2000 n. 445 con particolare riferimento a dichiarazioni 
false ed informato su quanto previsto dal DLgs. 196/2003 (Codice in materia di protezione dei dati personali), 
\par }{\f1\fs20\insrsid16608563\charrsid16528951 
\par }\pard \qc \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608563 {\f1\fs20\insrsid12402033\charrsid16528951 CHIEDE
\par }{\f1\fs20\insrsid16608563\charrsid16528951 
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608563 {\f1\fs20\insrsid12402033\charrsid16528951 Di partecipare alla selezione pubblica per soli titoli volta a formare apposita Graduatoria per la nomina }{
\f1\fs20\insrsid16608563\charrsid16528951 di n. 1}{\f1\fs20\insrsid12402033\charrsid16528951  rilevator}{\f1\fs20\insrsid16608563\charrsid16528951 e}{\f1\fs20\insrsid12402033\charrsid16528951  per il 6\'b0 Censimento dell\rquote agricoltura. 
\par }{\f1\fs20\insrsid16608563\charrsid16528951 
\par }{\f1\fs20\insrsid12402033\charrsid16528951 A tal fine DICHIARA s}{\f1\fs20\insrsid16608563\charrsid16528951 otto la propria responsabilit\'e0 essere in possesso del seguente titolo di studio}{\f1\fs20\insrsid12402033\charrsid16528951 : }{
\f1\fs20\insrsid16608563\charrsid16528951 
\par 
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\f1\fs20\insrsid16608563\charrsid16528951 Diploma }{\f1\fs20\insrsid12402033\charrsid16528951 di scuola secondaria di}{\f1\fs20\insrsid16608563\charrsid16528951  1\'b0 o di }{\f1\fs20\insrsid12402033\charrsid16528951  2\'b0 grado (diploma superiore) }{
\f1\fs20\insrsid16608563\charrsid16528951 e di possedere una comprovata esperienza in materia di agricoltura o di zootecnia o in rilevazioni statistiche che si specifica come segue: 
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\par _______________}{\f1\fs20\insrsid9379527 ________}{\f1\fs20\insrsid16608563\charrsid16528951 ______________________________________________________________________
\par 
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\f1\fs20\insrsid16608563\charrsid16528951 diploma di maturit\'e0 di perito agrario o di agrotecnico;  
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laurea, laurea specialistica o laurea magistrale (ordinamenti D.M. 509/99  o D.M. 270/04) in discipline agrarie, zootecniche, forestali o discipline statistiche}{\f1\fs20\insrsid12402033  o titoli equipollenti.}{\f1\fs20\insrsid16608563\charrsid16528951 

\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608394 {\f1\fs20\insrsid16608563\charrsid16528951 
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608563 {\f1\fs20\insrsid16528951\charrsid16528951 DICHIARA inoltre di }{\f1\fs20\insrsid12402033\charrsid16528951  }{\f1\fs20\insrsid16528951\charrsid16528951 

\par {\listtext\pard\plain\f130\fs20\insrsid16528951\charrsid16528951 \hich\af130\dbch\af0\loch\f130 -\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls13\adjustright\rin0\lin360\itap0\pararsid16528951 {
\f1\fs20\insrsid16528951\charrsid16528951 e}{\f1\fs20\insrsid12402033\charrsid16528951 ssere di cittadinanza _____________________________________________________________ 
\par {\listtext\pard\plain\f130\fs20\insrsid12402033\charrsid16528951 \hich\af130\dbch\af0\loch\f130 -\tab}
essere/non essere iscritt_ nelle liste elettorali del Comune di ____________________ (in caso di non iscrizione o di avvenuta cancellazione dalle liste elettorali indicarne i motivi); 
\par {\listtext\pard\plain\f130\fs20\insrsid12402033\charrsid16528951 \hich\af130\dbch\af0\loch\f130 -\tab}
godere dei diritti civili e politici anche nello Stato di appartenenza o di provenienza e di avere adeguata conoscenza della lingua italiana (per i cittadini degli Stati membri dell\rquote Unione europea); 
\par {\listtext\pard\plain\f130\fs20\insrsid12402033\charrsid16528951 \hich\af130\dbch\af0\loch\f130 -\tab}non aver riportato condanne penali e di non avere procedimenti penali pendenti }{\i\f1\fs20\insrsid12402033\charrsid16528951 oppure }{
\f1\fs20\insrsid12402033\charrsid16528951 indicare le eventuali condanne penali riportate nonch\'e9 i procedimenti penali eventualmente pendenti, precisando gli estremi del provvedimento di condanna o di applicazione dell\rquote 
amnistia, del condono, dell\rquote indulto o del perdono giudiziale, e il titolo del reato; 
\par {\listtext\pard\plain\f130\fs20\insrsid12402033\charrsid16528951 \hich\af130\dbch\af0\loch\f130 -\tab}essere disponibile ad}{\f1\fs20\insrsid16608563\charrsid16528951  operare n}{\f1\fs20\insrsid12402033\charrsid16528951 el territorio del Comune di }{
\f1\fs20\insrsid16608563\charrsid16528951 Arnesano}{\f1\fs20\insrsid12402033\charrsid16528951  con mezzo proprio ed all\rquote assunzione e mantenimento dell\rquote impegno previsto dall\rquote incarico 
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\par }{\f1\fs20\insrsid12402033\charrsid16528951 Allega il prospetto indicante i titoli valutabili per tale selezione. (Allegato }{\f1\fs20\insrsid3702659 3}{\f1\fs20\insrsid12402033\charrsid16528951 ). }{\f1\fs20\insrsid16528951 
\par 
\par }{\f1\fs20\insrsid12402033\charrsid16528951 Ai sensi dell\rquote art. 71 DPR 445/2000 acconsento al controllo dei dati sopra dichiarati e al loro trattamento da parte del Comune di }{\f1\fs20\insrsid16608563\charrsid16528951 Arnesano}{
\f1\fs20\insrsid12402033\charrsid16528951  esclusivamente nell\rquote ambito delle proprie attivit\'e0
 istituzionali (ai sensi del DLgs. 196/2003 - Codice in materia di protezione dei dati personali). Dichiara, inoltre, di aver preso visione del relativo bando di concorso e di sottostare a tutte le condizioni in esso stabilite. Chiede, infine, che ogni co
municazione relativa al presente concorso venga inviata al seguente indirizzo: }{\f1\fs20\insrsid12402033 
\par }{\f1\fs20\insrsid16528951 
\par ___________________________________________________________________________________________}{\f1\fs20\insrsid16528951\charrsid16528951 
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608563 {\f1\fs20\insrsid12402033\charrsid16528951 impegnandosi a comunicare le eventuali variazioni successive e riconoscendo che l\rquote am
ministrazione non assume nessuna responsabilit\'e0 in caso di irreperibilit\'e0 del destinatario.}{\f1\fs20\insrsid16608563\charrsid16528951 
\par 
\par }{\f1\fs20\insrsid12402033\charrsid16528951  Data,________________ 
\par }\pard \ql \fi720\li7200\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin7200\itap0\pararsid16608563 {\i\f1\fs20\insrsid12402033\charrsid16528951 Firma 
\par }{\i\f1\fs22\insrsid16608563\charrsid16608563 
\par }{\f1\fs22\insrsid16608563\charrsid16608563 
\par }\pard \qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16528951 {\b\f1\fs20\insrsid12402033\charrsid16528951 Ai sensi dell\rquote art. 39 del D.P.R. 445/2000, non \'e8 richiesta l\rquote autentica della firma
. Si allega fotocopia di un documento di riconoscimento. }{\f1\fs20\insrsid12402033\charrsid16528951 
\par }}