ATTACHMENT A)

TO THE ATTENTION OF
THE RECTOR
UNIVERSITY OF BARI ALDO MORO
			BARI

I the undersigned (surname)__________________________(name)________________________________ 
hereby request to participate in the public selection for the recruitment of ONE full time fixed - term employment contract of 36 months, pursuant to art. 24 clause 3 letter a) of Law n. 240 of 30.12.2010, issued by the Rector with the Decree n._________ dated_____(selection code R______/2019) , the announcement for which was published in the Gazzetta Ufficiale della Repubblica Italiana n. _____ on ______________, at the following Department:
DEPARTMENT |
COMPETITION SECTOR |
SCIENTIFIC DISCIPLINARY SECTOR |

For this purpose, pursuant to arts. 46 and 47 of Presidential Decree n. 445 of 28/12/2000 and aware that whomsoever makes false declarations, forges deeds or uses the same shall be punished, as established in  Art.76 of the aforementioned D.P.R., I hereby declare:

DATE OF BIRTH |
PLACE OF BIRTH |
FISCAL CODE | | | | | | | | | | | | | | | |

•	ADDRESS WHERE TO SEND COMMUNICATION REGARDING THE SELECTION:

STREET AND NUMBER |
CITY | | POSTAL CODE
COUNTRY |
TELEPHONE |
E-MAIL and/or PEC |

•	To be a _______________________________________ citizen;
•	(only for Italian candidates) To be enrolled in the electoral lists of the city______________________________;
-	or the reasons for the cancellation or the failure to register are: ________________________________
•	Not to have criminal suits pending against me; or, to have the following criminal suits pending against me (indicate the details of the related sentences or any pending criminal proceedings): ________________________________________________________________________________;
•	To be in possession of an academic PhD qualification  in_______________________________________ awarded on __________________________(the qualification must have been awarded between 27/02/2014 and 27/02/2018) at ______________________________;
•	Not to have or to have had research grants or a fixed-term research contract, pursuant to the Art. 22 and 24 of the Law n.240/2010 in this or in other public, not public or on-line Universities as well as with institutions as referred in subsection 1 Art. 22 of Law n. 240/2010, for a period that, if added to the period established in the present selection, exceeds a total of twelve years, even if not consecutive; 
•	Not to be a full or associate professor or researcher with a permanent position;
•	Not to be, from the moment of the proposal of activation of new vacancies, related by affinity or family relationship up to the fourth degree with a professor or a researcher working in the Department proposing the activation of the contract, or the Rector, General Director, or a member of the Board of the Directors of this University;  
•	Not to be married or in a stable similar relationship with a professor of the Department that activated the procedure;
•	(only for Italian candidates) To be in the current position regarding the military obligations (only for those born up to 1985):_____________________________________________________________
•	To be physically capable of doing the job;
•	Not to have been dismissed or exempted from an employment in a public administration office because of insufficient performance, or dismissed from any other public engagement, according to the article 127, letter d) of the President of the Republic Decree n. 3 of 10 January 1957;
•	To be aware that contracts are conferred according to the “Code of Conduct of the University of Bari Aldo Moro” and according to Art.18 subsection 1, letter b) and c) of the Law 240/2010;
•	Not to be/ to be a disabled candidate and to require the following assistance service___________________ or extra-time for the selection.

Only for foreign citizens:
-	To fully enjoy civil and political rights in their State of nationality:
YES □
NO  □  
If no, specify the reasons: ______________________________
-	To be in possession of a good knowledge of Italian language.

I also declare, under my own responsibility, that all the above is true and undertake to prove the same by presenting the necessary documents within the deadline and according to the methods as established in the announcement.
I also declare that I have read the provisions of art. 5 of the announcement concerning the procedures and terms for the presentation of qualifications and publications.
 I declare to attach to the application:
1.	Curriculum vitae, dated and signed, stating the scientific and didactic activities carried out by the candidates;
2.	Documentation certifying the possession of the requirements for participation as specified in Art.2;
3.	List of the certifications and qualifications relevant for the current selection, numbered, dated and signed;
4.	List of the publications relevant for the present selection numbered, dated and signed;
5.	Copy of the post office payment of € 30 for mailing and general expenses, done on the postal account n. 8706 registered in the name of Università degli Studi di Bari Aldo Moro, with the indication (compulsory) of the cause of the payment VC “Contributo partecipazione selezione a ricercatore”;
6.	Copy of the fiscal code card;
7.	Copy of a valid ID card. 

I hereby declare to be aware of the provisions of Art. 13 and 14 of the EU Regulation no. 2016/679 available to the following link: https://www.uniba.it/ateneo/privacy/aggiornamento- informative-regolamentoUE-2016-679 

I consent to the use of the personal data contained in the application and its attachments for reasons of the present selection process.

Date _________________
							Signature _________________________________

ATTACHMENT B)

SUBSTITUTE DECLARATION OF CERTIFICATION
(Art. 46 of Presidential Decree 445/2000)

I the undersigned  (surname)_____________________________(name)____________________________
born in (city and country)____________________________________________  on ___________________
resident in (city and country)_______________________________________________________________
Street______________________________________________ n. ____postal code _____________________
Telephone________________________________e-mail__________________________________________

aware that, pursuant to Article 76 of Presidential Decree 445/2000, whomsoever makes false declarations, forges deeds or uses the same shall be punished in accordance with the Penal Code and the special laws on this matter, 

HEREBY DECLARE

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Place and date_______________

_______________________
(signed by the candidate)

ATTACHMENT C)

SUBSTITUTE DECLARATION OF THE DEED OF NOTORIETY
(arts 19 and 47 of Presidential Decree 445/2000)

I the undersigned  (surname)_____________________________(name)____________________________
born in (city and country)_____________________________________________________on ____________
resident in (city and country)_______________________________________________________________
Street______________________________________________ n. ____postal code _____________________
Telephone________________________________e-mail__________________________________________

HEREBY DECLARE
To be aware that the attached copy:
□ Of the following document/act (specify)_________________________________________________
stored in/released by the public administration:_____________________________________________
is in conformity with the original.

□ Of the following publication entitled_____________________________________________________
Edited by__________________________________________reproduced from page_____to page_______
and so composed of n.________pages is in conformity with the original. 

Place and date _______________

_______________________
(signed by the candidate*)

*Pursuant to Art. 38 of the Presidential Decree n.445 of 28/12/2000 the declaration is signed by the candidate in the presence of an authorized officer or signed and sent along with a copy of the ID card of the candidate.