ARCHIVIO MUZIO
In collaborazione con:
in collaborazione con: Disclaimer The undersigned …………………………………………………………………………………………., born in …………………………………… province of ………. on ………………………….. and resident in …………………………………………..province of ……… via ……………………………………….. nr…….. Authorizes Politecnico di and Archivio Muzio to use the photos taken of me and previously shared via Instagram with the tag #muziomilano for the purpose of the #muziomilano contest. I also authorise the exhibiting of one or more of my photos. I also declare that I am the person who took the photos sent and that I possess the exclusive, legal copyright and exploitation rights of each photo, which therefore gives me all reproduction rights. I also declare that I accept the #muziomilano photograph context regulations on page: http://www.polimi.it/muziomilano I hereby attach a valid ID document to this photocopy or, alternatively, I am providing details of said document below: Type of document……………………….. Issued by……………………………. Number……………………………… Consent for the handling of personal data pursuant to article 13 Act on personal data protection pursuant to the Leg. Decree 196/2003 (Privacy Code) Pursuant to art. 23 of Legislative Decree No. 196/2003, we would like to inform you that the data provided can be used within the exclusive context of the “#muziopolimi Photograph Contest”, according to the Politecnico di Milano’s official purposes, in observance of the Leg. Decree 196/03 and subsequent amendments concerning the protection of personal data. The data may be subject to handling by subjects appointed by the data processor, in observance of the minimum safety requisites as set out in the Leg. Decree 196/2003, as part of the promotion of events and initiatives regarding Politecnico di Milano’s institutional purposes, on both paper and electronic supports, manually and/or using electronic equipment, or automatically. The data controller is the Politecnico di Milano Head Office, Piazza L. Da Vinci, 32, 20133, Milano. The data processor is Ms Chiara Pesenti, Executive Manager of the Politecnico di Milano Communication and External Relations Department, Piazza Leonardo da Vinci 32, 20133 Milano. I accept ‐ Signature __________________________ Politecnico di Milano
Piazza Leonardo da Vinci, 32
20133 Milano
T +39 02 2399
[email protected]
www.polimi.it
VAT number 04376620151
Tax Code 80057930150