ÐÏà¡±á>þÿ <>þÿÿÿ;ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Áƒð¿£bjbjBB4( uo_ uo_R Cÿÿÿÿÿÿ·Î Î aa±±±ÿÿÿÿÅÅÅ8ý$!,Å˜%&MMMMMÔÔÔÿ$%%%%%%$¾'¶t*ª%%-±Ô²"ÔÔÔ%%aaMMeR%XXXÔva8M±Mÿ$XÔÿ$XXVÃ"@™‡#ÿÿÿÿ€|JÚÿÿÿÿJ4#ë$h%0˜%#x+~²+‡#+±‡#dÔÔXÔÔÔÔÔ%%%%0(ÔÔÔ˜%ÔÔÔÔÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ+ÔÔÔÔÔÔÔÔÔÎ Y':(da presentare all’Ufficio Servizi agli studenti via e-mail: benefici.studenti@unipd.it) Modulo di richiesta pubblicazione iniziativa sul sito web Alla Magnifica Rettrice Università degli Studi Padova Oggetto: Richiesta per la pubblicazione dello svolgimento dell’iniziativa culturale nel sito di Ateneo. Il/la sottoscritto/a _______________________________________________________________________ nato/a a ________________________________________________________ il ____________________ codice fiscale ________________________________________________________ residente a ______________________________________________________________, CAP _____________ in Via ________________________________________________________________________________, telefono ____________________________, e-mail ___________________________________________, iscritto al corso di studio ______________________________________________ MATRICOLA __________________________ garante dell’iniziativa ________________________________________________________________________ ____________________________________ a.a. _________________ per la quale la Commissione per l utilizzazione dei fondi destinati ad iniziative ed attività culturali e sociali promosse dagli studenti ha concesso un contributo di ¬ _______________ CHIEDE che lo svolgimento dell’iniziativa sopra indicata possa essere pubblicizzata nel sito di Ateneo, ACCONSENTENDO che siano pubblicate tutte le informazioni riportate nel riquadro sottostante: (*) campo obbligatorio Il/La Garante ______________________ Padova, __________________ * Titolo: __________________________________________________________________________________ * Breve descrizione (max 10 righe): _______________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ * Date di svolgimento: ____________________________________________ * Luogo di svolgimento: ___________________________________________ * Per ulteriori informazioni rivolgersi a: (indicare un referente, telefono, e-mail, eventuale sito) ________________________________________________________________________________________ Eventuali allegati (locandine, volantini, ecc. in formato pdf) ________________________________________________________________________________________ 1=EYZmn“”–«¬ÃÊÓÔ 0 2 3 ˆ Â Ñ é ê ë ù # 2 > ? 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