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Modulo Registrazione ULIAS
ATTENZIONE INSERIRE I DATI CORRETTI
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Nome
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Cognome
*
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Luogo di nascita
*
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data di nascita
*
MM
/
DD
/
YYYY
Codice fiscale
*
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Indirizzo e numero civico
*
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CAP
*
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Città
*
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Provincia
*
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Aderente a ULIAS
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SI
No
Contatto telefonico
*
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Indirizzo email
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