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THE FORM TO THE SECOND EDITION

Association Scholarship
"PIERO SAVED" ONLUS
(Second Edition 2008-2009)


For pupils, sons of members of the Carabinieri weapon employed by a command or a station of the province or in Alexandria leave and enrolled in a section of the Province of Alessandria of the National Police, enrolled in an Institute of Public Secondary Schools or private, national or international

School year 2008/2009

FORM


INSTITUTE ___________________________________________________________

Town / City____________________________ Street _________________________________

ALUNNO _________________________________________ Classe ____________

Sez. ________________Tel. Istituto_______________________________________


CODICE FISCALE ____________________________________________________

Certificato scolastico 2007/08 (da allegare)__________________________________

Nome del padre ______________________________Professione________________

Comando/Stazione di appartenenza________________________________________

Nome della madre ____________________________ Professione_______________

Comando/Stazione di appartenenza________________________________________

Famiglia residente a ____________________________________________________

Via N. ______________________________________________

________________ Zip _________ Tel ___________________E-mail_________________________

be sent to the Association Scholarship Pierre Salvati, during the Republic, 48-15057 Tortona (AL) by November 10, 2008 (more documentation provided in the announcement)