WICOMPT - LA CERTIFICAZIONE INTERNAZIONALE DI INFORMATICA PER I PROFESSIONISTI DELL'INFORMATION TECHNOLOGY

WICompt - The international certification for Information Technology professionals

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09/05/2008 18.17.09

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Form for certification request and calculation of credits > step 1/2

THE COMPILATION OF THIS FORM STEP 1/2 IS NOT BINDING FOR THE RELEASE OF THE WICOMPT CERTIFICATION

THE INFORMATION IN RED IS OBLIGATORY

Personal information

Surname::

Name:

Date of birth:

(dd/mm/yyyy)

Place of Birth:

sex:

Address:

City:

ZIP code:

Province:

Country:

Personal e-mail:

Personal web site:

Telephone:

WICOMPT CERTIFICATION INFORMATION
If you leave "Automatic Valuation" Wicompt will assign the maximum obtainable certification

Certification level :

Certification type :

TRAINING INFORMATION
Insert, if you possess it, relative information of possible training courses and certifications, related to the requested WICompt type
Professional course title = insert the title of the course
Year = Insert the year in which it took place
Number of months = the duration in months
Number of hours = number of total hours of the course

Certification title:	Year:	N° months:	N° hours:







Certification title :	year:

EMPLOYEE ACTIVITY INFORMATION
Insert, if you possess it, the relative information of the function made as employee:
At the company = Insert the name of the company where you worked
Year = insert the year in which you started the activity
Duty = insert the activity done for that company
Duration in months = indicate the duration in months of that function

At the company:	Year:	Duty:	Duration:

FREE LANCE ACTIVITY INFORMATION
Insert, if you possess it, the relative information of the functions made as free lancer
For the client = Insert the name of the client of your performance (insert RESERVED if you consider it confidential)
Year = insert the year in which you started the activity
Duty = insert the activity made for that client
Duration in months = indicate the duration in months of that function

For the client:	Year:	Duty:	Duration:

VARIOUS ACTIVITY INFORMATION
Designed web sites = Indicate the URL of possible sites in which you have worked
Known languages = Insert only the languages of which you have a good knowledge
Known Software = Insert only the software of which you have good knowledge

Designed web sites	Known languages:	Known Software:

COMMUNICATIONS
If you wish, you can insert useful information to better qualify your activities. If the present form is not sufficient you can send your curriculum-Vitae to info@wicompt.net specifying in the object "CALCULATION WICOMPT CREDITS"

With the sending of the present form one explicitly states that all the inserted information is true and to have read and accepted the terms of the contract and to have taken in vision and accepted the privacy regulations

Do you accept the contract terms and privacy regulations?

THE PRESENT SENDING IS NOT YET THE DEFINITIVE ORDER

The information of the present form will be used by the ISnetw S.r.l. company in conformity
to the Italian privacy law.
If sent, the form authorizes the ISnetw to send the requested certificate,
only in the case that the contained information should be considered qualified to issuance
of the certification and only after YOUR confirmation
IN THE STEP 2/2 FOLLOWING THE PRESENT.