Cooperative society admission form 
Cooperativa Sociale 
Corviale 2000
(Person)

Information requested
1. Name:
2. Surname:
3. Born in:
4. Province:
5. on (dd/mm/yyyy):
6. Residing in:
7. Address:
8. Nationality:
9. Tax code number:

I ask to be admitted as an associate to this cooperative society

.
In this regard I state that:
 

I carried out the following work activity:


Previous work experiences:


Qualifications:


My family is composed of n°
People:

I authorize the processing of my personal information according to the law 675/96 on privacy