Florence, Ref. n.
									To the Head of DIMAI

Subject:  Request for assignment to expert/s for conference/s

The undersigned  [name surname] _____________________________________________     
Place and date of birth _______________________ _________________________________
Residence a ___________________________________________________________________   
Domicile ______________________________________________________________________
Fiscal Code ___________________________________________________________________

having read the conditions as set out in the Director’s proposal, Ref. n. …………… of the ………

declares
to accept the assignment conferred with the present contract and
-	not to be bound by a degree of consanguinity or affinity up to the fourth degree, with any Professor of the Department or with the Dean, the Director General or any member of the University Board of Directors pursuant to art. 18, paragraph 1 letter c) of Law 240/2010 and 
-	not to be the beneficiary of a scholarship or grant in the same period as the present contract (art. 8 current regulation of the University on scholarships and research grants (Decree of Rector 54/2013).

The undersigned pledges himself/herself to respect  the obligations derived from the Code of Conduct of Civil Servants according to art. 2 paragraph 3 of Decree 62/2013 implemented in the Code of Conduct of the University of Florence (Decree of Rector 98 ref. number 16906 of 8 February 2016) and he/she is aware that violating the above mentioned obligations will entail the ex lege termination of the present contract.

Please find attached the form on "Personal details and information for tax and social security purposes for independent work assignments or occasional employment”.

The undersigned also acknowledges that, pursuant to art. 15 of Legislative Decree  N. 33/13, data contained in his/her curriculum vitae et studiorum will be subject to publication on the web page of University, transparency Section.

Date ____________________________
   The appointee

___________________

Information pursuant to art. 13 of the Italian Legislative Decree No 196, 30 June 2003 on Privacy Code

We wish to inform the user (natural or legal person who has for various reasons relation with University), that the Legislative Decree n. 196 of 30 June 2003 (Code on the protection of personal data) provides for the protection of persons and other subjects with regard to the processing of personal data. 
According to the above-mentioned law data will be processed in compliance with the obligations of fairness, lawfulness, transparency and protection  your privacy and your rights.
In compliance with Article 13 of the mentioned Legislative Decree, we hereby provide the following information:
1. personal data will be treated exclusively for institutional purposes of University, related to teaching and research, and correlated administrative purposes;
2. personal data defined as "sensitive data" or "legal data" in the above mentioned code, supplied at this time and in later occasions will be processed by University pursuant to what provided by law dispositions and regulations and in compliance with the purposes of relevant public interest pursued by University. We remind you that sensitive data are personal data "revealing racial and ethnic origin, religious and philosophical beliefs or beliefs of different nature, political opinions, adhesion to political parties, trade unions, religious, philosophical, political or trade union associations or organizations, as well as data revealing the state of health or sexual orientation". Judicial data are personal data disclosing proceedings or judicial provisions;
3. data supply is compulsory, as provided by the mentioned regulation; any refusal to provide such data would imply the impossibility of starting and/or completing any processing related to institutional activities of University, and the impossibility to provide all services needed to ensure your rights;
4. the processing of personal data will be carried out both with manual modes and with the use of electronic means, through archives (containing paper documents) and databases owned by the competent offices;
5. data may be communicated only to public institutions or public administrations entitled by law solely for institutional purposes and for the principle of relevance and solely for the duration of the respective data processing;
6. the owner of data processing Prof. Giorgio Maria Ottaviani Director of DIMAI
7. data controller Dott.ssa Angela Nutini;
8. you may turn to the data processing owner or data controller at any time, without formal obligations, to enforce your rights, as provided for in Article 7 of the Code (D. Lgs. n. 196/2003), which for your convenience it is below reproduced in full: 

Art.7
(Right to access to personal data and other rights)

1. Any person concerned has the right to obtain confirmation of the existence of personal data about themselves, even if not yet registered, and such data should be communicated in intelligible form.
2. Any person concerned has the right to obtain information about: 
a) the origin of personal data; 
b) the purposes and methods of processing; 
c) the rationale underlying their processing in the event electronic instruments are used; 
d) the identity of the owner, the manager and the designated representative according to article 5, paragraph 2; 
e) the subjects or categories of subjects to whom personal data may be communicated or who can be notified  about them in their quality of appointed representatives in the country, of managers or agents.
3. Any person concerned has the right to obtain: 
a) the update, correction or, if interested, the integration of data; 
b) the deletion, anonymization or blocking of data processed in violation of law, including data which are not required to be kept for the purposes for which the data were collected or subsequently processed; 
c) the certification that the operations in letters a) and b) have been notified, including their contents, to those to whom data were communicated or disclosed, except where this proves impossible or involves the use of means manifestly disproportionate to the protected right. 
4. Any person concerned has the right to oppose, in whole or in part: 
a) for legitimate reasons, the processing of personal data, even if pertinent to the purpose of collection; 
b) the processing of personal data for purposes of sending advertising materials or direct selling or for carrying out market research or commercial communication.