dichiarazione di presenza/declaration de presence presence`s
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DICHIARAZIONE DI PRESENZA/DECLARATION DE PRESENCE PRESENCE’S DECLARE/DECLARATION DE ENTRADA Cognome/Nom/Surname/Apedillo ______________________________________________ DICHIARAZIONE DI PRESENZA/DECLARATION DE PRESENCE PRESENCE’S DECLARE/DECLARATION DE ENTRADA Cognome/Nom/Surname/Apedillo ______________________________________________ __________________________________________________________________________ __________________________________________________________________________ Nome/Prenom/Name/Nombre __________________________________________________ Nome/Prenom/Name/Nombre __________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Data di nascita/Date de naissance/Date of birth/Fecha de nacimiento ___________________ Sesso/Sexe/Gender/Sexo! ! [M/H] – [F] Luogo di nascita/Lieu de naissance/Place of birth/Lugar de nacimiento __________________ Data di nascita/Date de naissance/Date of birth/Fecha de nacimiento ___________________ (dd/mm/yyyy) Sesso/Sexe/Gender/Sexo! ! [M/H] – [F] Luogo di nascita/Lieu de naissance/Place of birth/Lugar de nacimiento __________________ __________________________________________________________________________ __________________________________________________________________________ Cittadinanza/Nazionalitè/Nationality/Nacionalidad :__________________________________ Cittadinanza/Nazionalitè/Nationality/Nacionalidad :__________________________________ Tipo di documento/Piecè d’identitè/Type of document/Tipo de documento: _______________ Tipo di documento/Piecè d’identitè/Type of document/Tipo de documento: _______________ __________________________________n. ______________________________________ __________________________________n. ______________________________________ Rilasciato da/Deliverè par/Issued by/Expedido por: _________________________________ Rilasciato da/Deliverè par/Issued by/Expedido por: _________________________________ Valido dal/Valable du/Valid from/Con validez desde el __________________ Valido dal/Valable du/Valid from/Con validez desde el __________________ (dd/mm/yyyy) Al/au/to/hasta el __________________ Stato di provenienza/Pays de provenance/State od origin/Pais de procedencia: ___________ Al/au/to/hasta el ________________ (dd/mm/yyyy) Stato di provenienza/Pays de provenance/State od origin/Pais de procedencia: ___________ __________________________________________________________________________ Recapito in Italia/Adresse en Italie/Address in Italy/Domicilio en Italia: Via-Piazza-Corso/Rue- __________________________________________________________________________ Recapito in Italia/Adresse en Italie/Address in Italy/Domicilio en Italia: Via-Piazza-Corso/Rue- Place-Avenue/Calle –Plaza-Avenida: ___________________________________n. _______ Place-Avenue/Calle –Plaza-Avenida: ___________________________________n. _______ Firenze Comune/Ville/City/Localidad: ___________________________________________________ Firenze Comune/Ville/City/Localidad: ___________________________________________________ FI Provincia/Province: __________________________________________________________ FI Provincia/Province: __________________________________________________________ Data di ingresso/Date d’Entrèe/Entry date/Fecha de entrada:__________________________ Data di ingresso/Date d’Entrèe/Entry date/Fecha de entrada:__________________________ Durata del soggiorno/Durèe du sèjour/Duration of stay/Duraciòn de la enstacia: gg/jours/days/dias ______ Durata del soggiorno/Durèe du sèjour/Duration of stay/Duraciòn de la enstacia: gg/jours/days/dias ______ Motivo dell’ingresso/Motif de l’entrèe/Reason of entry/Motivos que justifican la entrada: Motivo dell’ingresso/Motif de l’entrèe/Reason of entry/Motivos que justifican la entrada: (dd/mm/yyyy) Visita/Visite/Vsiit/Visitas ! Affari/Affairs/Business/Negocios ! Visita/Visite/Vsiit/Visitas ! Affari/Affairs/Business/Negocios ! Turismo/Tourisme/Tourism ! Studio/Etudes/Study/Estudios ! Turismo/Tourisme/Tourism ! Studio/Etudes/Study/Estudios ! Data/Date/Fecha ______________ Firma/signature _______________________________ Data/Date/Fecha ______________ Firma/signature _______________________________ (dd/mm/yyyy) ! ! Print ! ! Save Reset Timbro Ufficio/Cachet du service Florence and Abroad Real Estate Agency ! ! Timbro Ufficio/Cachet du service! !
