Academic year ACCOMMODATION APPLICATION FORM (HOUSING SERVICE WITH FEE) INTERNATIONAL MOBILITY/PHD. The undersigned:

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1 Servizio Abitativo e Attività Culturali Academic year ACCOMMODATION APPLICATION FORM (HOUSING SERVICE WITH FEE) INTERNATIONAL MOBILITY/PHD ALL SECTIONS MUST BE FILLED IN The undersigned: Family name First name M F University identification number Tax code Nationality Place of birth Date of birth Phone Mobile phone Permanent address: Street City. Postcode Country Other Address (only if different from the above indicated address): Street City. Postcode Country Bank account for the return of the deposit: IBAN SWIFT/ BIC

2 is applying for a bed for the academic year 2018/2019 for the period from to Please note: IN CASE OF AN EARLY EXIT FROM THE STUDENT RESIDENCES WITHOUT A VALID AND DOCUMENTATED REASON, THE STUDENT MUST PAY A PENALTY OF TWO MONTHS RENT In one of the following student residences: Casa dello Studente Gastaldi Corso Gastaldi,25 Residenza Milano Terminus Via Balbi,34 Residenza Garibaldi Salita della Neve,17 Type of accommodation: Single room ( 350,00 per month) Double room ( 300,00 per person per month) To this end he/she declares: Tick the appropriate box that he intends to assert his right of pre-emption since previously accommodated at the residence with fee for academic year 2017/18; to be enrolled at the University of Country and to attend the following International Mobility Program: ERASMUS, LEONARDO, CINDA, other (specify) Or: to be enrolled in the following PhD Course at the Università degli Studi of Genoa Year of enrolment University identification number

3 having duly read the rules for the allocation of beds with fee for academic year 2018/2019 on ALFA institutional website; having duly read the Regulation of ALFA Student Residences on ALFA institutional website. Date Student signature

4 Information for personal data processing as per article of EU GDPR Regulation 2016/679 The personal data shall be processed pursuant the regulation as per Decree Law no. 196, 30 June 2003 and as per EU GDPR Regulation 2016/679 General Data Protection Regulation. 1) The Data Controller and the Data Protection Officer (DPO) The Data Controller: ALFA Address: Via S. Vincenzo, Genova Phone privacy@alfaliguria.it The Data Protection Officer (DPO): Dr. Letizia Scuderi Contacts: dpo.privacy@alfaliguria.it dpo.privacy@pec.alfaliguria.it 2) Purpose of data protection The personal data are processed for the purposes connected to the entirety of the activities, performed by information technology means as well as of hardcopy archive, aimed at drawing up a list of students applying for accommodation (housing service with fee) as provided by Regional and National regulations on the subject of the Right to University Education. 3) Communication of the data The processed data (personal data, address, address, university enrolment data, etc.) may also be disclosed to Liguria Region, to the Università degli Studi of Genoa, to the Institutions for Higher Education in Art and Music (AFAM), to the Italian Agency of Revenue (Agenzia delle Entrate), to the Ministry of Education, University and Research, to the Ministry of the Interior, to the Ministry of the Defense, to the National Association of the institutions for the Right to University Education (ANDISU), as well as to other public authorities or private subjects that could carry out control, statistics or research activities. In the frame of processing them for any procedures related to institutional compliances, personal data may be accessible to those that, within ALFA organization, have the task to process them (ALFA personnel, employees) as well to third parties who have to process them on behalf of ALFA and to the ALFA information technology personnel. 4) Disclosure of personal data Disclosure of personal data for the purposes defined at point 2) is mandatory; failure to comply will result in exclusion from the assignment of the accommodation. The data processed are the data disclosed by the student at the time of presentation of the accommodation application form (housing service with fee). 5) Storage time of personal data The data collected, except for different resolutions of Liguria Region or of the Ministry for University and Research, will be kept for ten years and appropriate safety measures shall be taken in particular against accidental loss or unlawful destruction, alteration, unauthorized disclosure of, or access to personal data transmitted, stored or otherwise processed.

5 6) Rights of the interested parties As far as data processing is concerned, the interested parties have the rights granted as for articles from 15 to 22 of GDPR Regulation (EU) 2016/679. As per the Information for personal data processing stated above, the undersigned Family name First name tax code gives his/her consent does not give his/her consent Date Student signature