To the Head of the Department
									University of Pisa

I, the undersigned_______________________________ born in _____________________________ on_________________ citizenship (provide your country of origin) ________________________ holding a BA/MS Degree in ______________________________ _____________________________________ according to the provisions of the Presidential Decree of the Council of Ministers (DPCM) dated 7 September 2020 which extends the precautionary measures to contrast and contain Covid-19 spread.

DECLARE

to be compliant, as for the country of origin, with the mandatory requirements to prevent any sanitary risk by Covid-19 spread.

Place and date______________				Signature____________________