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lo&nbsp;{% select_tag name=&quot;688153b7&quot; data_label=&quot;sottoscritto/a&quot; data_choices=&quot;sottoscritto|sottoscritto; sottoscritta|sottoscritta;&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp;{% textinput_tag name=&quot;ec22b699&quot; data_label=&quot;lo sottoscritto/a XXX nato/a&quot; style=&quot;max-width:300px;min-width:300px;width:300px;&quot; fixedwidth=&quot;300&quot; data_align_text=&quot;left&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp;{% select_tag name=&quot;202be561&quot; data_label=&quot;nato/a&quot; data_choices=&quot;nato|nato; nata|nata;&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} a&nbsp;{% textinput_tag name=&quot;885e5c99&quot; data_label=&quot;Io sottoscritto/a ... nato/a a XXX&quot; style=&quot;max-width:250px;min-width:250px;width:250px;&quot; fixedwidth=&quot;250&quot; data_align_text=&quot;left&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

il&nbsp;{% textinput_tag name=&quot;5205958c&quot; data_label=&quot;il&nbsp;XXX residente&quot; style=&quot;max-width:150px;min-width:150px;width:150px;&quot; fixedwidth=&quot;150&quot; data_align_text=&quot;left&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} residente in&nbsp;{% textinput_tag name=&quot;7bd6cfb2&quot; data_label=&quot;il ... residente in XXX alla&quot; style=&quot;max-width:200px;min-width:200px;width:200px;&quot; fixedwidth=&quot;200&quot; data_align_text=&quot;left&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} alla via&nbsp;{% textinput_tag name=&quot;e1b42741&quot; data_label=&quot;il ... residente in ... alla via XXX&quot; style=&quot;max-width:200px;min-width:200px;width:200px;&quot; fixedwidth=&quot;200&quot; data_align_text=&quot;left&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}

Codice fiscale&nbsp;{% textinput_tag name=&quot;202e30ce&quot; data_label=&quot;Codice fiscale&quot; style=&quot;max-width:250px;min-width:250px;width:250px;&quot; fixedwidth=&quot;250&quot; data_align_text=&quot;left&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %} (di seguito l&#39;&quot;Interessato&quot;)

dichiaro di aver ricevuto, letto e compreso l&rsquo;Informativa relativa al trattamento dei dati personali cos&igrave; come disciplinati dal Regolamento UE n. 2016/679 predisposta da {% textinput_tag name=&quot;a71a1a24&quot; data_label=&quot;dichiaro di aver ricevuto, letto e compreso l&rsquo;Informativa relativa al trattamento dei dati personali cos&igrave; come disciplinati dal Regolamento UE n. 2016/679 predisposta da XXX e pertanto&quot; style=&quot;max-width:300px;min-width:300px;width:300px;&quot; fixedwidth=&quot;300&quot; data_align_text=&quot;left&quot; data_required_field=&quot;false&quot; data_bold_text=&quot;false&quot; %}&nbsp;e pertanto

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