Iscrizione

CMI – Comunità Mozambicana in Italia

1. DATI ANAGRAFICI(Obbligatorio)

Nome Cognome

Data di nascita

Luogo di nascita

Località Stato / Provincia / Regione

2. DATI DI RESIDENZA(Obbligatorio)

Località Stato / Provincia / Regione Nazione

Stato civile

Tipo documento

Carta d’identità

Passaporto

Numero documento

Ente emittente

Data di rilascio

Validità

Anno di arrivo in Italia(Obbligatorio)

Periodo di soggiorno

3. DATI PROFESSIONALI | Istituzione a cui sei legato (Azienda, Università, Istituto)

Professione

Numero telefonico(Obbligatorio)

E-Mail(Obbligatorio)

Cittadino residente in Italia(Obbligatorio)

Carica Fototessera(Obbligatorio)

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