The € 16.00 virtual stamp must be paid through the "pagoPA" which will be available on your personal page only after the Office has acquired

the application request. It is not necessary to forward anything, the payment will be visible to the Office once paid

DUTY STAMP

16 € TO BE PAID ONLINE VIA

PAGOPA (see footnote)

UFFICIO SEGRETERIA STUDENTI MEDICINA E CHIRURGIA – SEDE DI NAPOLI - ED ODONTOIATRIA E PROTESI DENTARIA

APPLICATION FORM FOR THE ADMISSION TO THE FINAL DEGREE EXAM IN MEDICINE AND SURGERY IN ENGLISH

TO THE RECTOR UNIVERSITY STUDENT ID NR

A 9 0 SURNAME

NAME

DATE OF BIRTH

ITALIAN FISCAL CODE

CITY OF BIRTH

LIVING ADDRESS

CITY OF RESIDENCE OR ACTUAL LIVING CITY

C.A.P. (ZIP CODE)

CITIZENSHIP

PHONE NUMBER

ACADEMIC YEAR OF THE VERY FIRST ENROLLMENT IN MEDICINE AND SURGERY __________

The € 16.00 virtual stamp must be paid through the "pagoPA" which will be available on your personal page only after the Office has acquired

the application request. It is not necessary to forward anything, the payment will be visible to the Office once paid

REQUESTS TO BE ADMITTED TO THE DEGREE EXAM IN MEDICINE AND SURGERY IN ENGLISH

IN THE EXTRAORDINARY /SUMMER/AUTUMN SESSION IN THE CALL OF THE MONTH _____________________

YEAR______ THESIS TIPOLOGY: (Indicate if Experimental or Descrptive) _______________________________

THESIS TITLE

__________________________________________________________________________________________

__________________________________________________________________________________________

SUPERVISOR /Prof./Dott.:________________CO-SUPERVISOR (IF EXISTS): Prof./Dott. __________________

THE UNDERSIGNED ATTACHES THE FOLLOWING REQUIRED DOCUMENTS TO THIS DOCUMENTS:

1. FRONTISPIECE OF THE THESIS SIGNED BY THE SUPERVISOR AND THE STAMP OF THE DEPARTMENT OF PRECISION MEDICINE

2. FINAL COPY OF THE DEGREE THESIS 3. DIDACTIC ACTIVITIES BOOKLET(WHITE BOOKLET) 4. SELF-CERTIFICATION IN WHICH THE ACCEPTANCE IS EXPRESSED THAT THERE ARE NO ERRORS

AND / OR OMISSIONS ON YOUR UNIVERSITY CAREER; 5. CERTIFICATION OF THE COMPLETION OF THE ALMALAUREA QUESTIONNAIRE (SEE PAGE

3/4) 6. MODULE REFERRED TO IN ANNEX 1 7. SELF-CERTIFICATION, MADE UNDER ITS OWN LIABILITY IN THE WAYS AND IN THE FORMS

PROVIDED BY THE REGULATION IN FORCE, THAT IT IS NO LONGER LOANED FOR ANY VOLUME BELONGING TO THE LIBRARY

8. ONGOING VALIDITY ID OR PASSPORT COPY (BOTH SIDES) 9. DUTY STAMP OF € 16.00 TO BE PAID ONLINE THROUGH "PAGOPA" CREATED IN THE

UNIVERSITY ACCOUNT PERSONAL AREA. ALL THE ABOVE LISTED DOCUMENTS MUST BE FORWARDED BY INSTITUTIONAL MAIL (PRIVATE MAIL WILL NOT BE ACCEPTED) AT THE FOLLOWING ADDRESS laureandi.medicinanapoli@unicampania.it

The only final degree thesis, with the frontispiece in a single .pdf file attached, will be sent via the WETRANSFER platform, specifying in the forwarding SURNAME NAME AND STUDENT ID NUMBER. The undersigned is also aware that for the delivery of this application, the documentation accompanying it and the deadline for taking the final exam among those included in the university studies, the mandatory terms provided for, by this university will be respected with a notice, having official notification value to interested parties, published on the website www.unicampania.it and at the competent administrative office of the University. The undersigned declares, in the end, that he has passed all the exams and actvities included in the study plan or that he/she is in debt for the following exams / activities:

_____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Place and date _____________________________, Signature ___________________________________________________________ (legible and full signature)

The € 16.00 virtual stamp must be paid through the "pagoPA" which will be available on your personal page only after the Office has acquired

the application request. It is not necessary to forward anything, the payment will be visible to the Office once paid

Dear graduating student, I don't know your personal university experience that now is about to end, but I know that from this experience we can obtain useful elements to improve our University and to facilitate your own entry (or a different, better location) into the world of work. in Italy and Europe. This is the dual purpose that our University pursues by joining the AlmaLaurea graduate database which has been operating positively since 1994. In order to carry it out, an electronic questionnaire has been prepared which I sincerely ask you to fill in with the utmost frankness in all its parts, returning the completion receipt to the Student Secretariat of your school before completing the studies. Your replies will be treated strictly confidentially. I have mentioned to you another important objective that we have set ourselves to achieve with this initiative; to facilitate your entry into the world of work. In this perspective, your data will be entered in the AlmaLaurea database and made available to companies that request it and, if deemed appropriate, may also be visible by graduating students. But many other services will be carried out at your benefit; it is in your interest to have updated your curriculum vitae. Thank you for your collaboration and I greet you with warm cordiality. Signed The RECTOR

What is AlmaLaurea: Since 1994 AlmaLaurea has been the Interuniversity Consortium of a growing number of universities and collects extensive documentation of all graduates of the consortium universities (available at www.almalaurea.it). • Almalaurea democratizes the access of young people to the world of work, facilitates companies in finding staff, reduces the meeting times between demand and supply of qualified work. • Almalaurea allows the rapid search for graduates/graduates through over 100 individual characteristics concerning school and university careers, study and work experiences in Italy and abroad, linguistic and computer skills, aspirations. • Almalaurea analyzes the effectiveness of the university's educational offer by collecting the judgments and experience of all the undergraduates, monitors the students' study paths and analyzes the characteristics and performances of the graduates allowing the comparison between different courses, locations of study and faculty (the results of the research can be consulted at www.almalaurea.it). 10 reasons to fill in the questionnaire well and keep it updated: 1. Your University facilitates your entry into the world of work: ALMALAUREA is an opportunity offered by your University to facilitate your entry, or your best position in the world of work and professions.

2. Your CV in the world: With ALMALAUREA on the Internet (www.almalaurea.it), your CV is for the attention of those seeking qualified personnel not only in your city but in the whole world.

3. With ALMALAUREA information reliability: Since 1994, ALMALAUREA has been consulted daily by hundreds of public and private bodies and companies (Italian and foreign) for the breadth and reliability of the information contained. When using your application, always use the AlmaLaurea Curriculum Vitae; it is CERTIFIED by your university (you can always print it and save it on your pc).

4. Respect for confidentiality: In full respect for privacy, ALMALAUREA is made available only for starting work and selecting personnel.

5. From the questionnaire to the most requested curriculum vitae: the proposed questionnaire has been studied taking into account the Curriculum Vitae desired by those looking for qualified personnel (as well as the cognitive needs of your University).

6. Fill in the questionnaire carefully: Fill in the questionnaire in its entirety; you will have more opportunities to be selected.

7. Keep username and password: Keep personal username and password assigned to you; in addition to completing the questionnaire, they allow you - forever - to access all the services available on www.almalaurea.it.

8. Check and update your curriculum vitae on the Internet: You will decide for yourself how to be visible in the database, even as a graduating student. After graduation, as soon as the CV is completed by your University with the official data (the degree mark, thesis title, etc ...), AlmaLaurea will publish your Curriculum Vitae. So you can, using the same username and password with which you filled out the questionnaire, update it at any time (inserting your work experiences), and control how companies view it.

9. Always be found by e-mail: Do not forget to enter your e-mail address; with the "AlmaLaurea ti alert" service you can receive reports on job offers. By entering the e-mail address you can always automatically receive a forgotten username and password.

10. Consult the "Search job offer" and "After graduation" service: Numerous job offers are published on the ALMALAUREA website; click on the ad you are interested in and send your application with the Curriculum Vitae present in the database which will thus arrive directly at the selection manager. To perfect your preparation, by accessing the “After graduation” service, you can orient yourself between post-graduate courses (specialist degrees, first and second level masters, research doctorates, specialization schools, specialization courses).

__________________________________________________________________________________________________________________

The € 16.00 virtual stamp must be paid through the "pagoPA" which will be available on your personal page only after the Office has acquired

the application request. It is not necessary to forward anything, the payment will be visible to the Office once paid

Information to the interested party pursuant to art. 13 Code regarding the protection of personal data We inform you that the AlmaLaurea Consortium guarantees that each treatment complies with current legislation and pursuant to art. 13 of the

Code regarding the protection of personal data and that: • The data are processed exclusively for the purpose of insertion in the world of work and professional training; • The data are processed in an automated form in order to allow searching through various keys such as, for example, the faculty and the degree mark; the data are disseminated via the Internet; • The data highlighted in the questionnaire by a darker background are disclosed only in aggregate form and such as to guarantee anonymity; • The data is required for statistical and research purposes on the university system, while it is optional for inclusion in the AlmaLaurea database: the desire not to be included in the AlmaLaurea database must be a written communication by the person concerned; • Failure to complete a part of the questionnaire will result in the failure to enter the data not provided in the AlmaLaurea database; in this case, only the administrative data held by the University Secretariat in line with the provisions regarding the protection of personal data are entered in the AlmaLaurea database; • The recipients of the data communication can be the subjects (public and private, Italian and foreign) and the trade associations that expressly declare that they are interested in the data for starting up in the world of work and professional training; • The interested party can exercise the rights referred to in art. 7 of the Code regarding the protection of personal data, including the right to obtain confirmation, updating, and cancellation of data; • The independent data controllers are the AlmaLaurea Interuniversity Consortium and the S.U.N .; • The Data Processor for the AlmaLaurea Interuniversity Consortium is Cineca, via Magnanelli, 6/3 - 40033 - Casalecchio di Reno (BO). On the website www.almalaurea.it - http: // www.almalaurea.it - the updated list of data processors to whom to contact to exercise the rights of the interested party is published. The link to be connected to fill in the questionnaire is: http://www.almalaurea.it/lau/laureandi/login_laureandi

The Undersigned __________________________________________________________________________________________, born in

_ _________________________________________________________ on________/_______/________/, having read the above note of the

Rector, relating to the Almalaurea questionnaire for the collection of data of undergraduates / graduates and informed that the questionnaire has

the purpose of improving the University and facilitating entry into the world of work in Italy and Europe

declares

not to be included in the Almalaurea graduate database and to be aware that your personal data will be processed only for the management of

administrative procedures within the institutional procedures of this University.

Faithfully

Place and date ________________________________________ ______________________________ (legible and full signature)