Agent Candidacy

Compiles the following form in order to proceed to your candidacy

Corporate Name

Surname

Name

Address

Address :: Es. Via Roma 1

Zip Code

City

Province

Province :: Inserire solo le Iniziali

Phone

Phone :: Es. 0123 456789

Mobile

Mobile :: Es. 012 3456789

Web Site

VAT registration number

Notes

Briefing about personal data

Enclose CV

Enclose CV :: Formati ammessi: .doc, .pdf, .rtf

Personal data processing approval

I agree

Signature