Fac-simile of self-certification
 SUBSTITUTE DECLARATION OF CERTIFICATION
OF EXAMS AND ENROLLMENT
(artt. 45 e 46 del D.P.R. 28 dicembre 2000 n. 445)
The Undersigned__________________________________________________________________
born in__________________________________________________ on______________________
resident in _______________________ (address) ________________________________________
aware of the sanctions referred to art. 76 of D.P.R 28/12/00 n. 445 in case of false declarations and the forfeiture of the benefits that may result from the provision issued on the basis of untruthful declarations, pursuant to art. 76 of D.P.R 28/12/00 n. 445; pursuant to and for the purposes of art. 47 of the aforementioned D.P.R. 445/2000; under his own responsibility
STATES
•	to be enrolled, for the current Academic Year, in the Bachelor Degree, Specialist / Master Degree or Single-Cycle Degree in (indicate the name of the Degree Course) (1) _________________________________________________________________________;
•	di to matriculated in the Academic Year_____________;
•	to be enrolled, for the current Academic Year, in following year: _______________;
•	to have taken and recorded the exams listed in Table I on the date of submission of the application (2);
Table I   (add lines if necessary)
NAME OF EXAM	DATE	MARK	CREDITS	

				

				

				

				

TOTAL CREDITS PER EXAMS (A)		
•	to have acquired and recorded at the date of submission of the application the additional credits shown in the following Table II (3);

Table II   (add lines if necessary)
NAME OF EXAM	DATE	CREDITS	

			

			
			
TOTAL OTHER CREDITS (B)		
•	at the date of submission of the application, my weighted average is: ________ / 30 (4);
•	to have obtained, on the date of submission of the application, a total number of credits of:__________________ (5);
•	upon completion of the first semester of the A.Y. 2021/2022, the number of credits expected by the last approved Study Plan is:________ (6);
The undersigned also declares, pursuant to art. 13 of D.Lgs.n.196 of 30th June 2003, to have been informed that the personal data contained in this declaration will be processed, also with IT tools, exclusively in the context of the procedure for which this declaration is made.

Rome, __________________
Signature
______________________________ 
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This declaration replaces to all intents and purposes the normal certifications required or intended for a public administration as well as for managers of public and private services. The signature must not be authenticated. If the declaration is personally delivered, the signature must be affixed in front of the recipient with an identity document. If the declaration is not delivered in person, a photostatic copy of the identity document must be attached. This declaration is valid for 6 months (art.41 D.P.R. 445/2000); if the documents it replaces have greater validity, it has the same validity as them. This declaration can be sent using telematic tools (art. 38 D.P.R. 445/2000). Failure to accept this declaration constitutes an infringement of official duties (art.74 paragraph 1 of D.P.R. 445/2000). Exempt from stamp duty pursuant to art. 37 D.P.R. 445/2000.

NOTE:
(1)	Tick the options that are not of interest and indicate the name of the Degree Course.
(2)	Enter all exams. The validly recorded exams are exclusively those registered on Infostud..
(3)	Enter all credits relating to eligibility, traineeships and laboratories, as well as those relating to degree thesis. The valid credits are exclusively those registered on Infostud.
(4)	The weighted average must be calculated by referring to all and only the exams listed in Table I. The "30 cum laude" mark must be counted as "30/30". Any registrations for exams that have not passed must not be counted.
(5)	Add up the credits obtained in Table I and in Table II.
(6)	Students enrolled in degree courses with extensive teaching, or with annual and non-semester exams, must refer to the exams / credits provided by the end of the A.Y. 2020/21.