Area Sviluppo e Rapporti con le Imprese Servizio Offerta Formativa Post Laurea Stamp duty at current value CERTIFICATES ON STAMPED PAPER REQUEST FORM Personal code ID no. Surname_______________________________ Name_______________________________________ Telephone_________________________________ Mobile phone ________________________________ REQUESTS Type of certificate No. of copies in Italian No. of copies in English Certificate of enrolment Certificate of specializing masters degree Certificate of post-graduate programme attendance Certificate with educational programme and credits Pursuant to Article 15 of Law no. 183/2011, certifications on stamped paper cannot be submitted to the Public Administration. Certificates are issued on paper bearing stamp duty at current value (€16,00), one stamp per certificate requested. to be collected personally from the Servizio Offerta Formativa Post Laurea –Leonardo Campus – Via Bonardi 2 – 1st floor to be collected personally from the _______________________ (indicate the Department/Consortium that managed the course) to be delivered to the following address Via/Piazza ___________________________________________________ no. __________________ Postcode__________ City __________(Province)______Town/City District ______________________ Country ______________________ Tel._______________ Mobile ____________________ e-mail ________________________________ Milan,__________________________ Signature ____________________________________ SPACE RESERVED FOR USE BY THE CERTIFICATE COLLECTION OFFICE Collected on by the requester National Identity Card Driving Licence Passport no._____________ of__________________ by the mandated party National Identity Card Driving Licence Passport no.__________ of __________________ See attached mandate and copy of valid identification Sent to the __________________________ Consortium/Department on _________________________ Pursuant to Article 15 of Law no. 183/2011, as of 1/1/2012, certificates to be submitted to the Public Administration or Public Service Managers can no longer be issued or accepted. In this case, only self-certifications will be permitted. Only certificates intended for entities other than the Public Administration or Public Service Managers will be issued. To give or to send to Servizio Offerta Formativa Post Laurea - Campus Leonardo – Piazza Leonardo Da Vinci 32 – 20133 Milano - Italy