DECLARATION

PUBLIC SELECTION PROCEDURE FOR THE AWARDING OF __ (no.) RESEARCH FELLOWSHIP/S, TITLE______
Call Ref. No. ________________ AT UNIVERSITÀ CA’ FOSCARI VENEZIA

The undersigned

Surname……………………………………………. (women must state their birth surname) 
Forename(s) …………………………………………., Title ………..

 born in …………………………………… (town/city) …………………. (province/county) ……. (state/country) on……………………. (date of birth) ……………….. M…..F…. (tick as appropriate)

Declares

- s/he is available/not available (delete as appropriate) to attend the online (e.g. Skype) interview/oral examination scheduled for ……… (date), at…………. (time). 

In order to ensure that, to the extent applicable, the technical conditions and means in his/her possession will enable proper connection, s/he also declares that:
- her/his Skype (state if other) account is: …………………………….
- s/he will be present at the following address ( ……………………… - 
- s/he is aware the interview/oral examination will be conducted online only if ALL the candidates agree and are able to connect, and that otherwise the interview/oral examination will be postponed to a later date. 
Place and date ..........................................
                                                        Signature
											…………………………………………

Copy of Identity Document (passport, ID card) attached 

The document should be signed, scanned and attached via email to the address specified in the call for applications