The undersigned hereby requests registration/renew the registration for the year 2021 for Accademia Italiana di Odontoiatria Microscopica. Pursuant to and for the purpose of the Law of January 4, 1968 no. 15 and of the DPR 445/2000 and subsequent amendments and additions, the undersigned, who is aware of its responsibilities and penalties established by the law concerning misrepresentations and false statements, on its own responsibility (art. 26 L.04/01/1968; art. 76 DPR 445/2000 and subsequent amendments)

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