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Physical person
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Italian registry
Last Name *
First Name *
Date of birth
*
Country of birth
*
Province of birth
*
City of Birth
*
Country foreign birth
*
Gender
*
Male
Female
Tax code
*
Attention: Tax code is not consistent with the entered data.
Country of residence
*
Province of residence
*
City of residence
*
Country foreign residence
*
Address
*
Street number
*
Postal code
*
Email
*
Business name *
VAT number
*
Registered office
Country
*
Province
*
City
*
Foreign city
*
Address
*
Street number
*
Postal code
*
Email
*
PEC address
Payment is to be made to a person
Payment is to be filed with a company
Italian registry
Personal data subject physical person
First Name *
Last Name *
Date of birth
*
Country of birth
*
Province of birth
*
Country of birth
*
Country foreign birth
*
Gender
*
Male
Female
Tax code
*
Attention: Tax code is not consistent with the entered data.
Country of residence
*
Province of residence
*
City of residence
*
Country foreign residence
*
Address
*
Street number
*
Postal code
*
Email
*
Personal data on behalf of a legal person
Business name *
VAT number
*
Registered office
Country
*
Province
*
City
*
Foreign city
*
Address
*
Street number
*
Postal code
*
Email
*
PEC address
Detail data
Numero pratica *
(Required)
Data pratica *
Causal
Causal description *
(Required)
Notes
Total
Amount €
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informativa sulla privacy
. *
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