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Home > Documents > Dati delRichiedente : In rappresentanza dellaDitta/Società · Modulo : SICP(011-10/04/2020) -...

Dati delRichiedente : In rappresentanza dellaDitta/Società · Modulo : SICP(011-10/04/2020) -...

Date post: 11-Jul-2020
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Modulo: SICP-PRY -SIMUL (011-10/04/2020)-Informativa Privacy Pag.: 1/ 5 1 [[!sigField1:signer2:signature(sigType="DisposableCertificate",batch=1):label("Agente 1 "):size(width=100,height=30)):offset(x=430.00,y=-140.80)]] [[!sigField2:signer1:signature(sigType="DisposableCertificate",batch=1):label("Cliente 1"):size(width=100,height=30)):offset(x=100.00,y=-692.00)]] [[!sigField3:signer1:signature(sigType="DisposableCertificate",batch=1):label("Cliente 2"):size(width=100,height=30)):offset(x=100.00,y=-750.00)]] [[!Flag 1 Cliente:signer1:radio(consente )):size(width=10,height=10)):offset(x=034,y=-540.00)]][[!Flag 1 Cliente:signer1:radio(non consente):size(width=10,height=10)):offset(x=07.00,y=-540.00)]] [[!Flag 2 Cliente:signer1:radio(consente )):size(width=10,height=10)):offset(x=034,y=-545.00)]][[!Flag 2 Cliente:signer1:radio(non consente):size(width=10,height=10)):offset(x=07.00,y=-545.00)]] [[!Flag 3 Cliente:signer1:radio(consente )):size(width=10,height=10)):offset(x=034,y=-587.00)]][[!Flag 3 Cliente:signer1:radio(non consente):size(width=10,height=10)):offset(x=07.00,y=-587.00)]] [[!Flag 4 Cliente:signer1:radio(consente )):size(width=10,height=10)):offset(x=034,y=-600.00)]][[!Flag 4 Cliente:signer1:radio(non consente):size(width=10,height=10)):offset(x=07.00,y=-600.00)]] [[!Flag 5 Cliente:signer1:radio(consente )):size(width=10,height=10)):offset(x=110,y=-659.00)]][[!Flag 5 Cliente:signer1:radio(non consente):size(width=10,height=10)):offset(x=111.00,y=-659.00)]] Dati del Dati del Richiede Richiedente : nte : Cognome: ______________________________ ______________________________ Nome: ______________________________ ______________________________ Sesso: |__| M |__| F C.F.: ________________ nato/a a: ______________________________ (__) il: __/__/____ In rappr In rappresentanz esentanza della a della Ditta/So Ditta/Società : cietà : Rag. soc: ______________________________ ______________________________ Sede in: ______________________________ ______________________________ Sesso: |__| M |__| F C.F./P.IVA: ________________ nato/a a: ______________________________ (__) il: __/__/____ Dati del Dati del Coobblig Coobbligato/Gara ato/Garante : nte : Cognome: ______________________________ ______________________________ Nome: ______________________________ ______________________________ Sesso: |__| M |__| F C.F.: ________________ nato/a a: ______________________________ (__) il: __/__/____
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Modulo: SICP-PRY -SIMUL (011-10/04/2020)-Informativa Privacy Pag.: 1/ 5 11[[!sigField1:signer2:signature(sigType="DisposableCertificate",batch=1):label("Agente 1 "):size(width=100,height=30)):offset(x=430.00,y=-140.80)]]

[[!sigField2:signer1:signature(sigType="DisposableCertificate",batch=1):label("Cliente 1"):size(width=100,height=30)):offset(x=100.00,y=-692.00)]]

[[!sigField3:signer1:signature(sigType="DisposableCertificate",batch=1):label("Cliente 2"):size(width=100,height=30)):offset(x=100.00,y=-750.00)]]

[[!Flag 1 Cliente:signer1:radio(consente )):size(width=10,height=10)):offset(x=034,y=-540.00)]][[!Flag 1 Cliente:signer1:radio(non consente):size(width=10,height=10)):offset(x=07.00,y=-540.00)]]

[[!Flag 2 Cliente:signer1:radio(consente )):size(width=10,height=10)):offset(x=034,y=-545.00)]][[!Flag 2 Cliente:signer1:radio(non consente):size(width=10,height=10)):offset(x=07.00,y=-545.00)]]

[[!Flag 3 Cliente:signer1:radio(consente )):size(width=10,height=10)):offset(x=034,y=-587.00)]][[!Flag 3 Cliente:signer1:radio(non consente):size(width=10,height=10)):offset(x=07.00,y=-587.00)]]

[[!Flag 4 Cliente:signer1:radio(consente )):size(width=10,height=10)):offset(x=034,y=-600.00)]][[!Flag 4 Cliente:signer1:radio(non consente):size(width=10,height=10)):offset(x=07.00,y=-600.00)]]

[[!Flag 5 Cliente:signer1:radio(consente )):size(width=10,height=10)):offset(x=110,y=-659.00)]][[!Flag 5 Cliente:signer1:radio(non consente):size(width=10,height=10)):offset(x=111.00,y=-659.00)]]

Dati delDati del RichiedeRichiedente :nte :

Cognome: ____________________________________________________________ Nome: ____________________________________________________________ Sesso: |__| M |__| F

C.F.: ________________ nato/a a: ______________________________ (__) il: __/__/____

In rapprIn rappresentanzesentanza dellaa della Ditta/SoDitta/Società :cietà :

Rag. soc: ____________________________________________________________ Sede in: ____________________________________________________________ Sesso: |__| M |__| F

C.F./P.IVA: ________________ nato/a a: ______________________________ (__) il: __/__/____

Dati delDati del CoobbligCoobbligato/Garaato/Garante :nte :

Cognome: ____________________________________________________________ Nome: ____________________________________________________________ Sesso: |__| M |__| F

C.F.: ________________ nato/a a: ______________________________ (__) il: __/__/____

Modulo: SICP-PRY -SIMUL (011-10/04/2020)-Informativa Privacy Pag.: 2/ 5 22

Modulo: SICP-PRY -SIMUL (011-10/04/2020)-Informativa Privacy Pag.: 3/ 5 33

Modulo: SICP-PRY -SIMUL (011-10/04/2020)-Informativa Privacy Pag.: 4/ 5 44

Modulo: SICP-PRY -SIMUL (011-10/04/2020)-Informativa Privacy Pag.: 5/ 5 55


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