Application form Agòn politikós

2nd edition —  SCHOOL YEAR. 2011/12

Associazione ex alunni Liceo Durante
via G.Matteotti, 132
80027Frattamaggiore -

Full name ….........................................................born............................ ….....................pupils at (type of school and location)…………………………

class........................ form. ...........

                                                  APPLIES FOR

 the  competition Agòn politikós — 2nd edition — which will take place   at Liceo  classico “F.Durante” Frattamaggiore on Friday 22th April 2012.

Ai sensi della legge n° 196/2003 autorizza il trattamento dei propri dati per le attività della Scuola  inerenti il Concorso.(acceptance privacy rules)

s.y.2010/11 -final mark in Greek min. 8       

                                                                                                                                                                                                                                  signature

                                                             ...................................................................

Participant’s address:................................................................................................................

Name and address of the applying school :

…..........................................................................................................................

Teacher  ............................................................................................................

Date.............................              Headmaster’s signature................................