Microsoft Word - modulo recupera credenziali ver 2.docx  · Web view2017-06-06 · 04/04/2016...

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REQUEST FORM FOR THE RETRIEVAL OF CREDENTIALS The undersigned……………………………………………………………………………………………………………. Born in …………………………………………………………………date of birth……………………….…………… Fiscal Code………………………………………………………..………………………………………………………… Resident in ……………..…………………………………… (Town……………..………) Zipcode…….……….……. Country …………………………………………………………………………………………………………………. Street………………………………………………………..………………………………………….….nr………..…….. Phone……………………………………..…………….Cellphone…………….…………………………….…………… Account used to enter: ………..…………………………………………..………………………………… (it can be “initialname.surname”,for example ‘m.rossi’ for the one Registered or it can be “id….”, for the students already ENROLLED) SEND this form with the following documentation: Copy of a valid identity document Copy of the Fiscal Code At the following reference: [email protected] TAKE NOTE that the closing of the administrative process of recovery of the credentials will take place within 3 working days starting from the day after the request. AUTHORIZE The University of Verona to communicate the credentials or the procedures for their recovery for the access at the University’s on-line services at the following private e-mail address (obligatory information): (write in clear and legible capital letters)

Transcript of Microsoft Word - modulo recupera credenziali ver 2.docx  · Web view2017-06-06 · 04/04/2016...

Page 1: Microsoft Word - modulo recupera credenziali ver 2.docx  · Web view2017-06-06 · 04/04/2016 04:00:00 Title: Microsoft Word - modulo recupera credenziali ver 2.docx Last modified

REQUEST FORM FOR THE RETRIEVAL OF CREDENTIALS

The undersigned…………………………………………………………………………………………………………….

Born in …………………………………………………………………date of birth……………………….……………

Fiscal Code………………………………………………………..…………………………………………………………

Resident in ……………..…………………………………… (Town……………..………) Zipcode…….……….…….

Country ………………………………………………………………………………………………………………….

Street………………………………………………………..………………………………………….….nr………..……..

Phone……………………………………..…………….Cellphone…………….…………………………….……………

Account used to enter: ………..…………………………………………..………………………………… (it can be “initialname.surname”,for example ‘m.rossi’ for the one Registered or it can be “id….”, for the students already ENROLLED)

SEND this form with the following documentation: Copy of a valid identity document Copy of the Fiscal Code

At the following reference:

[email protected]

TAKE NOTE that the closing of the administrative process of recovery of the credentials will take place within 3 working days starting from the day after the request.

Verona, li…………………. Firma………………………………….

AUTHORIZE The University of Verona to communicate the credentials or the procedures for their recovery for the access at the University’s on-line services at the following private e-mail address (obligatory information):

(write in clear and legible capital letters)

AUTHORIZE The University of Verona to communicate the credentials or the procedures for their recovery for the access at the University’s on-line services at the following private e-mail address (obligatory information):

(write in clear and legible capital letters)