FederazioneInternazionalePasticceriaGelateriaCioccolateriawww.internationalfederationpastry.comViaTorviscosa,5333100Udine(Ud)Tel.+390432600904-Vatandtaxcode:02724640301

Sitoweb:www.federazionepasticceri.itEmail:info@federazionepasticceri.it-segreteria@federazionepasticceri.it

ENROLLMENT APPLICATION FIPGC

The undersigned (surname) (name)

Place of birth

Date of birth

(town of birth- if born abroad: specify the State) (prov.) (day/month/year) residence (town of residence) (prov.)

Street name n° (street, square, locality etc.) POST CODE: Telephone: Fax: Mobile: Website: *

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MAKE BANK TRANSFER TO : FEDERAZIONEINTERNAZIONALEPASTICCERIAGELATERIACIOCCOLATERIAASSOCIAZIONESENZASCOPODILUCROBANKINGCOORDINATES:BANCADICIVIDALEFILIALEUDINE3–VIAMARSALAIBAN:IT15X0548412302CC0440421284BIC SWIFT: CIVI IT 2C

Wish to register to the FIP Activity: Confectionary Cake Designer Ice Cream Chocolate Restaurant Bakery

Tothisenddeclare:a) Toknowandaccept,withoutanyreservation,thestatute;andtoundertaketocomplytotheregulationstherein;b) TobeinpossessionofthegeneralrequirementsofparticipationalsothespecificrequirementsforthetypeofmembershipseenintheRegulationsabove;c) Toaccepttheconditionsofregistrationtotheassociationwhichrequirethepaymentofamembershipfeeofeuro50,00(fiftyeuros);d) Tocommunicatepromptlyeventualvariationsdeclaredinthepresentapplicationofmembership;e) Submitannuallytotheagencyresponsible(BoardofDirectors)adataacquisitioncard,speciallyarranged,withwhichtocommunicateallusefulupdatesof

theOfficialListoftheassociation;f) Tocommunicateinwritinganyeventualdecisiontowithdrawmembership;g) TonotundertakeactivitiescontrarytothepurposeoftheAssociation;h) Authorizetheuseofpersonaldataandimagesforthepurposeofmarketing,pubblictyandanymedia.i) Authorize,evenincaseofwithdrawalfromtheInternationalFederationofPastryIceCreamandChocolate,fortheindefiniteuseofeventualpersonal

photos,filmsandworks,thatrefertotheperiodofmembershiptotheInternationalFederationofPastryIceCreamChocolate.

D.L.g.s.n.196del30/06/2003andfurthermodificationsandelaborationsPrivacyPolicy

Information:Inreferencetoart.13ofthelegislativeDecree196del30/06/2003,Weinformyouthatthetreatmentofdataconcernedwillbemade(directlyand/orthroughsocieties,institutionsorassociations)forthepurposesstrictlyconnectedtotherequestabove.Alldatawillbetreatedlawfullyandcorrectly,thedatawillberecordedandstoredincomputerfilesand/orpaperformat,,alsopublishedontheweband/orsupport

paperformat(guides,brochures,promotionalmaterialfornationalandinternationalcirculation.)Asestablishedinart.7,youhavetheright,atanymoment,toconsultorrequestthemodification(shouldyouencountererrorsand/orvariations)orthecancellationofdatacommunicated.Theeventualrefusaltoprovide,allorinpart,thedatarequiredwillautomaticalylead,evenwithoutanycommunicationwithregardsto,theexclusionoftheestablishmentorcontinuationofanyfurtherrelationship.Consensus:Ideclaretohavereceivedtheinformationreferredtoinart.13ofD.Lgs.196/03andfurthermodificationsandelaborations,ofwhichIamawareofthecontents

andexpressaftercarefulevaluationandself-determination,consenttothetreatmentofmypersonaldataasdescribedinthesaidarticle.

Signature of applicant