To the Rector of the University of Urbino Carlo Bo

Object : Notice on the protection of working mothers and similar situations 

The undersigned
Name …………………………………………………Surname…………………………………………………………………….
Place of birth : ………………… (Country of birth : ……………) Date of birth : ………………………………………..
Resident in: Address …………………………………………………City ……………….Postcode ………................... 
Phone:…………………………………………….. E-mail ………………………………………..………..………… 
Enrolled for the academic year…………………… to the …… year of the Ph.D. Programme in ………………………………………………… cycle

DECLARES

□ Having read the information on the protection of working mothers and similar situations
“Testo Unico delle disposizioni in materia di tutela della maternità e della paternità” approved with L. 26.03.2001 n. 151/2001 -  D.Lgs n. 81/2008 and subsequent amendments; Law. n.145/2018, paragraphs 485-486;

□ To be aware that the communication on the state of pregnancy is mandatory, particlularly in the case of attendance of scientific laboratories;

INFORMS

□ To be pregnant at the …………… week of gestation and that the presumed date of delivery is ………………………… ....
□ To be breastfeeding within 7 months from the date of birth.

Attaches a certificate issued by the specialist doctor certiying the presumed/effective date of delivery

The information provided will be treated in compliance with the legislation on the protection of personal data, pursuant to and for the purposes of Legislative Decree no. 196 of 30 June 2003 and art. 13 of EU Regulation 2016/679 (GDPR). The personal data collected will be processed, also with IT tools, exclusively as part of the procedure for which this declaration is made.

Urbino, 								   		   Signature 
 								 ………………………………………………..

If this form is mailed or sent via email, a signed copy of a valid identity document must be attached.