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Dati anagrafici
Family name
First name
Place of birth (town)
Country of birth
Date of birth (dd/mm/yyyy)
Residenza anagrafica
Your permanent home address, not your temporary address in Bologna
Province / County / US State Abbreviation
ZIP code
Dati fiscali
(Italian tax ref. number)
Altri dati
Upload a passport-style photograph - max. 100 KB (optional)