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\li0\ri567\widctlpar\wrapdefault\faauto\adjustright\rin567\lin0\itap0\pararsid8338463 \rtlch\fcs1 \af5\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \af5 \ltrch\fcs0 \insrsid10114135 \par }\pard\plain \ltrpar\s4\qc \li0\ri0\keepn\widctlpar\brdrt\brdrs\brdrw10\brsp20 \brdrl\brdrs\brdrw10\brsp80 \brdrb\brdrs\brdrw10\brsp20 \brdrr\brdrs\brdrw10\brsp80 \tqr\tx9639\wrapdefault\faauto\outlinelevel3\adjustright\rin0\lin0\rtlgutter\itap0\pararsid5915255 \rtlch\fcs1 \ab\ai\af5\afs20\alang1025 \ltrch\fcs0 \b\i\f5\fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \ai0\af37\afs22 \ltrch\fcs0 \i0\f37\fs22\insrsid5915255 ISTITUZIONE DEI COMITATI DI FRAZIONE E DI QUARTIERE \par }{\rtlch\fcs1 \ai0\af37\afs22 \ltrch\fcs0 \i0\f37\fs22\insrsid9918420 \par }{\rtlch\fcs1 \ai0\af37\afs22 \ltrch\fcs0 \i0\f37\fs22\insrsid5915255 DOMANDA ISCRIZIONE LISTE DEI VOLONTARI}{\rtlch\fcs1 \ai0\af37\afs22 \ltrch\fcs0 \i0\f37\fs22\insrsid10114135 \par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\tqr\tx9639\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af5\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\insrsid10114135 \par }{\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\insrsid8338463 \par Prot. n\'b0______________}{\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\insrsid10114135 \par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\ai\af37\afs22 \ltrch\fcs0 \b\i\f37\fs22\insrsid10114135 \par }\pard\plain \ltrpar\s19\qj \li0\ri0\widctlpar\tqc\tx2977\tqc\tx7655\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af37\afs18\alang1025 \ltrch\fcs0 \f37\fs18\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \fs22\insrsid5915255 \par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \fs22\insrsid9918420 \par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \fs22\insrsid4263761 \par \par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \fs22\insrsid10114135 Il/La sottoscritto/a (cognome e nome) _________________________________________________________________ \par \par }\pard\plain \ltrpar\s22\qj \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid8338463 \rtlch\fcs1 \af37\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid10114135 consapevole delle sanzioni penali previste dall\rquote art. 76 T.U. 445/2000, nel caso di mendaci dichiarazioni, }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid8338463 f}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid10114135 alsit\'e0 negli atti, uso o esibizione di atti falsi, contenenti dati non pi\'f9 rispondenti a verit\'e0,}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid8338463 }{\rtlch\fcs1 \ab\ai\af37 \ltrch\fcs0 \insrsid10114135\charrsid8338463 dichiara sotto la propria personale responsabilit\'e0}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid10114135\charrsid8338463 \par }\pard\plain \ltrpar\s19\qc \li0\ri0\widctlpar\tqc\tx2977\tqc\tx7655\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af37\afs18\alang1025 \ltrch\fcs0 \f37\fs18\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \ab\af37\afs16 \ltrch\fcs0 \b\fs16\insrsid10114135\charrsid8338463 \par }\pard \ltrpar\s19\qj \li0\ri0\widctlpar\tqc\tx2977\tqc\tx7655\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \fs22\insrsid10114135 - di essere nato/a a _______________________________________________________ il ____ / ____ / ___________ \par }{\rtlch\fcs1 \af37\afs16 \ltrch\fcs0 \fs16\insrsid10114135\charrsid8338463 \par }\pard\plain \ltrpar\s21\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af37\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid10114135 - }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid5915255 di essere cittadino _______________________________________________________________________________ \par - }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid10114135 di essere residente a __________________________ via _____________________________________ N.________ \par tel}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid5639918 ._______________}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid5915255 fax__________________}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid10114135 indirizzo e-mail ___________}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid5639918 ____}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid10114135 ____}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid5915255 _____}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid10114135 ___________________ \par }\pard\plain \ltrpar\s6\qc \li0\ri0\keepn\widctlpar\wrapdefault\faauto\outlinelevel5\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af5\afs24\alang1025 \ltrch\fcs0 \b\f5\fs24\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid4663023 \par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid5915255 E }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid10114135 C H I E D E \par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid4663023 \rtlch\fcs1 \af5\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \af5 \ltrch\fcs0 \insrsid4663023\charrsid4663023 \par }\pard\plain \ltrpar\s21\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid7160292 \rtlch\fcs1 \af37\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid15928393 d}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid5915255 i essere ammesso nell\rquote }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid4663023 elenco dei volontari }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid4663023 {\field{\*\fldinst SYMBOL 111 \\f "Monotype Sorts" \\s 11}{\fldrslt\f38\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid4663023 cittadini italiani / }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid4663023 {\field{\*\fldinst SYMBOL 111 \\f "Monotype Sorts" \\s 11}{\fldrslt\f38\fs22}}}{ \rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid4663023 cittadini stranieri}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid7160292 , tra i quali estrarre }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid13118999 a sorte }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid7160292 i componenti del Comitato di : }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid12127768 \tab }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid7160292 {\field{\*\fldinst SYMBOL 111 \\f "Monotype Sorts" \\s 11}{\fldrslt\f38\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid7160292 frazione di ____________________________________ \par }\pard \ltrpar\s21\qj \fi708\li2124\ri0\sl360\slmult1\widctlpar\wrapdefault\faauto\adjustright\rin0\lin2124\itap0\pararsid12127768 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid7160292 {\field{\*\fldinst SYMBOL 111 \\f "Monotype Sorts" \\s 11}{\fldrslt \f38\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid7160292 di quartiere }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid2694524 1 }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid7160292 di Manciano \par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid7160292 {\field{\*\fldinst SYMBOL 111 \\f "Monotype Sorts" \\s 11}{\fldrslt\f38\fs22}}}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid7160292 di quartiere 2 di Manciano \par }\pard \ltrpar\s21\qj \fi-5954\li5954\ri0\sl360\slmult1\widctlpar\wrapdefault\faauto\adjustright\rin0\lin5954\itap0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid15928393 c}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1866930 ome da Regolamento approvato con deliberazione C.C. n. 45 del 23.10.2012}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid9918420 ed avviso pubblico del }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid4790989 7}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid9918420 .12.2012}{ \rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid4663023 \par }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid9918420 \par }\pard\plain \ltrpar\s15\qj \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af5\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \ai\af37\afs22 \ltrch\fcs0 \i\f37\fs22\insrsid10114135 Informativa ai sensi del D. Lgs. 196/2003 (Codice in materia di protezione dei dati personali): dichiara di essere informato/a, ai sensi degli artt. 13 e 23, che i dati raccolti saranno trattati, anche con strumenti informatici, esclusivamente per le finalit\'e0 di gestione del procedimento per il quale sono richiesti.}{\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\insrsid10114135 \par }\pard\plain \ltrpar\qj \li0\ri0\widctlpar\tqc\tx4253\wrapdefault\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af5\afs20\alang1025 \ltrch\fcs0 \f5\fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid10114135 \par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid5639918 \par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid4663023 \par ________________________, ___/___/______}{\rtlch\fcs1 \ai\af37\afs22 \ltrch\fcs0 \i\f37\fs22\insrsid10114135 \tab \tab }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid10114135 firma }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid4663023 \par \par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid4263761 \par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid4663023 \tab \tab }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \f37\fs22\insrsid10114135 _________________________________________ \par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \ab\af37\afs22 \ltrch\fcs0 \b\f37\fs22\insrsid10114135 \par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid7016662 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid4263761 \par \par }{\rtlch\fcs1 \af37\afs22 \ltrch\fcs0 \b\i\f37\fs22\ul\insrsid4263761\charrsid1866930 N. B. \endash E\rquote obbligatorio allegare alla presente richiesta copia non autenticata di un valido documento di riconoscimento \par }\pard \ltrpar\qc \li4536\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin4536\itap0 {\rtlch\fcs1 \ab\ai\af37\afs22 \ltrch\fcs0 \b\i\f37\fs22\ul\insrsid10114135 \par }}