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You have decided to join us. Great!
Please fill in the form below to take part to Yeppies and have access to free accommodation in Torino from 25th to 28th January 2007, free meals (lunch and dinner of 26th and 27th of January), XXIII Winter Universiade pass, meetings and sport events organized by YEPPIES!

APPLICATION DEADLINE: 12/01/07

(*) mandatory fields

First name: *

Last name: *

Sex: *

Place of birth: *

Date of birth: *(DD/MM/YYYY)

Nationality: *

E-mail:

Address:  *

City: *

Postal Code: *

Country: *

Phone number: *

Fax number:

Mobile phone number: 

Passport number: *

Name of University: *

Faculty: *

Field of study:

Student Association: *

Have you ever been in Torino ?:

Informativa sul trattamento dei dati personali

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YES