application form 2018 - italian conducting academy€¦ ·  · 2017-07-30abrsm . title: microsoft...

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Application Form - Academic Year 2018

send to: segreteria@italianconductingacademy.com NameSurnamePlaceanddateofbirthAddressPostCodeTownCountryNationalityTelephoneMobilee-mailCandidate’sprincipalstudiesanddegreesDetailsoftheBankTransferof€150Passport/IDCardDetails□Three-YearCourse □Two-YearSpecializationCourse □AuditorDateSignatureforRegistrationandacceptanceofRegulation----------------------------------------------------------------------------------------------------------------------------------------------UndertheLawn°675/96andD.P.R.318/99Iconsenttotheprocessingofpersonaldata.Yes□

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