Bio@SNS Registration Form

New lab’s members (undergraduate students, PhD students, post-doc fellows)

Please, fill the form to activate the safety procedures

Name

Surname

Profile

Role

Date of birth

Place of birth

Nationality

Address

Codice Fiscale (if known)

Email address

Phone #

Internal Bio@SNS Reference Person

Begin Date

End Date

Undegraduate University Students Only

University

Degree Course (Corso di Laurea)

Registration Number (Numero di Matricola)

Autorizzo il trattamento dei miei dati personali ai sensi del Dlgs 196 del 30 giugno 2003