Certificating Training/self-certification

DECLARATION IN LIEU OF AFFIDAVIT OF PENDING CHARGES AND ADHERENCE TO THE UNIVERSAL CODE OF CONDUCT AND CODE OF CONDUCT OF WIKIMEDIA ITALIA

I, the undersigned____________________________ born in ____________________ on___________ resident in ___________________ Via ________________________ N. ______ Tel : __________ Tax code________________________________________

aware of the penal sanctions, in the case of untrue declarations and falsity in deeds, referred to in art.76 D.P.R.445 of 28/12/2000

DECLARES

That I have not been convicted of any criminal offence and that I am not the subject of any measure concerning the application of preventive measures, civil decisions or administrative measures entered in the criminal record pursuant to current legislation;

That I am not the subject of pending criminal proceedings;

AND FURTHER

to accept and adhere to the Universal Code of Conduct (UCoC)
To accept and adhere to the Code of Conduct of Wikimedia Italia

The undersigned declares that he/she is informed, pursuant to Legislative Decree no. 101/2018 (code regarding the protection of personal data) that the personal data collected will be processed, including by computer, exclusively within the scope of the proceedings for which this declaration is made.

____________________

place and date

_______________________________

signature of the declarant

Attachments: copy of a valid identity document of the declarant.