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Association Form for Individuals


For the CISVA President 
Magnifico Rettore of the University of Salento
 
For the CISVA Director 
Prof. Giovanna Scianatico
 
 
 
I hereby _______________________________________, in the role of (please specify qualification/role):
 
q       Subject Professor ________________________________________________________
q       Researcher______________________________________________________
q       Doctorate in_______________________________________________________________
q       Other (specify)___________________________________________________________
 
at(specify the institution):__________________________________________
 
request to become an associate with the “Centro Interuniversitario Internazionale di Studi sul Viaggio Adriatico” (CISVA).
Best wishes,
 
Place, date
 
                                                                                                                         Signature
 
 
Private address
Telephone
E-mail

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