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10.0.2627;}{\info{\title Maggioli Editore}{\author Maggioli Editore}{\operator Maggioli Editore}{\creatim\yr2001\mo8\dy30\hr3\min22} {\revtim\yr2004\mo2\dy25\hr16\min32}{\printim\yr2001\mo8\dy30\hr10\min33}{\version7}{\edmins8}{\nofpages1}{\nofwords524}{\nofchars2988}{\*\company Maggioli Editore}{\nofcharsws3505}{\vern16437}} \paperw11907\paperh16840\margl1134\margr1134\margt1134\margb851 \deftab708\widowctrl\ftnbj\aenddoc\hyphhotz283\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\hyphcaps0\formshade\horzdoc\dghspace120\dgvspace120\dghorigin1701\dgvorigin1984\dghshow0 \dgvshow3\jcompress\viewkind1\viewscale100\nolnhtadjtbl\rsidroot12413306 \fet0\sectd \psz9\linex0\headery709\footery709\colsx709\endnhere\sectdefaultcl\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2 \pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6 \pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ql \li0\ri0\widctlpar\faauto\rin0\lin0\itap0 \f1\fs24\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\b\fs28\insrsid12413306 AUTOCERTIFICAZIONE ADEMPIMENTI degli OBBLIGHI MILITARI ecc. \par }{\fs16\lang1036\langfe1040\langnp1036\insrsid12413306\charrsid12413306 (Art. 46 \endash D.P.R. 28 dicembre 2000, n. 445)}{\fs16\lang1036\langfe1040\langnp1036\insrsid12413306 \par }{\fs16\lang1036\langfe1040\langnp1036\insrsid11161858\charrsid12413306 \par }{\fs4\lang1036\langfe1040\langnp1036\insrsid12413306\charrsid12413306 \par }\pard \ql \fi284\li0\ri0\sl360\slmult1\widctlpar\faauto\rin0\lin0\itap0 {\fs20\insrsid12413306 Il sottoscritto __ __________________________________________________________________ \par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\faauto\rin0\lin0\itap0 {\fs20\insrsid12413306 nato in ____________________________________________________________________________ \par residente in _______________________ via ____________________________ }{\fs20\insrsid12413306 {\field{\*\fldinst SYMBOL 40 \\f "Wingdings" \\s 10}{\fldrslt\f10\fs20}}}{\fs20\insrsid12413306 _______________ \par }\pard\plain \s17\qj \fi284\li0\ri0\widctlpar\faauto\rin0\lin0\itap0 \f1\fs20\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\insrsid12413306 ai sensi e per gli effetti di cui all\rquote art. 46 del D.P.R. 28 dicembre 2000, n. 445, \par consapevole delle responsabilit\'e0 penali in cui potrebbe incorrere in caso di dichiarazioni mendaci o di formazione od uso di atti falsi, richiamate dall\rquote art. 76, nonch\'e9 dell\rquote ulteriore sanzione della decadenza dai benefici prevista dall \rquote art. 75, articoli entrambi dello stesso D.P.R. n. 445/2000, }{\b\expnd6\expndtw30\insrsid12413306 \par }{\insrsid12413306 \'e8 informato }{\insrsid11161858 della raccolta dei dati per l\rquote emanazione del provvedimento amministrativo ai sensi dell\rquote art. 13 del D.Lgs. n. 196 del 30/06/2003 (}{\insrsid4072660 v. }{\i\insrsid11161858\charrsid3363037 informativa}{\insrsid11161858 )}{\insrsid12413306 , e \par }{\insrsid11161858 \par }\pard\plain \qc \li0\ri0\widctlpar\faauto\rin0\lin0\itap0 \f1\fs24\lang1040\langfe1040\cgrid\langnp1040\langfenp1040 {\b\fs26\insrsid12413306 D I C H I A R A }{\b\fs20\insrsid12413306 d i }{\fs20\insrsid12413306 (1)}{\b\fs20\insrsid12413306 \par }{\fs8\insrsid12413306 \par {\pntext\pard\plain\fs20\insrsid12413306 \hich\af0\dbch\af0\loch\f0 [1]\tab}}\pard \qc \li0\ri0\widctlpar{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent283 {\pntxtb [}{\pntxta ]}}\faauto\ls1\rin0\lin0\itap0\pararsid12413306 { \fs20\insrsid12413306 essere iscritto nella lista di leva del Comune di _______________________________________ \par }\pard \ql \fi1418\li0\ri0\widctlpar{\*\pn \pnlvlcont\ilvl12\ls0\pnrnot0\pndec }\faauto\ilvl12\rin0\lin0\itap0\pararsid12413306 {\fs20\insrsid12413306 quale appartenente alla classe ________ \par {\pntext\pard\plain\fs20\insrsid12413306 \hich\af0\dbch\af0\loch\f0 [2]\tab}}\pard \qc \li0\ri0\widctlpar{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent283 {\pntxtb [}{\pntxta ]}}\faauto\ls1\rin0\lin0\itap0\pararsid12413306 { \fs20\insrsid12413306 essere "abile-arruolato" a seguito di visita psicofisica di leva e selezione ___________________ \par {\pntext\pard\plain\fs20\insrsid12413306 \hich\af0\dbch\af0\loch\f0 [3]\tab}}\pard \qc \li0\ri0\widctlpar{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent283 {\pntxtb [}{\pntxta ]}}\faauto\ls1\rin0\lin0\itap0\pararsid12413306 { \fs20\insrsid12413306 essere "arruolato senza visita" per _________________________________________________ \par {\pntext\pard\plain\fs20\insrsid12413306 \hich\af0\dbch\af0\loch\f0 [4]\tab}}\pard \qc \li0\ri0\widctlpar{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent283 {\pntxtb [}{\pntxta ]}}\faauto\ls1\rin0\lin0\itap0\pararsid12413306 { \fs20\insrsid12413306 essere "rivedibile" ______________________________________________________________ \par {\pntext\pard\plain\fs20\insrsid12413306 \hich\af0\dbch\af0\loch\f0 [5]\tab}}\pard \qc \li0\ri0\widctlpar{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent283 {\pntxtb [}{\pntxta ]}}\faauto\ls1\rin0\lin0\itap0\pararsid12413306 { \fs20\insrsid12413306 essere "riformato" ______________________________________________________________ \par {\pntext\pard\plain\fs20\insrsid12413306 \hich\af0\dbch\af0\loch\f0 [6]\tab}}\pard \qc \li0\ri0\widctlpar{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent283 {\pntxtb [}{\pntxta ]}}\faauto\ls1\rin0\lin0\itap0\pararsid12413306 { \fs20\insrsid12413306 essere stato "dispensato" dal servizio militare per _____________________________________ \par {\pntext\pard\plain\fs20\insrsid12413306 \hich\af0\dbch\af0\loch\f0 [7]\tab}}\pard \qc \li0\ri0\widctlpar{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent283 {\pntxtb [}{\pntxta ]}}\faauto\ls1\rin0\lin0\itap0\pararsid12413306 { \fs20\insrsid12413306 aver prestato servizio militare quale ____________________________ dal _________________ \par }\pard \qc \fi284\li0\ri0\widctlpar{\*\pn \pnlvlcont\ilvl12\ls0\pnrnot0\pndec }\faauto\ilvl12\rin0\lin0\itap0\pararsid12413306 {\fs20\insrsid12413306 al _______________ presso ______________________________________________________ \par {\pntext\pard\plain\fs20\insrsid12413306 \hich\af0\dbch\af0\loch\f0 [8]\tab}}\pard \qc \li0\ri0\widctlpar{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent283 {\pntxtb [}{\pntxta ]}}\faauto\ls1\rin0\lin0\itap0\pararsid12413306 { \fs20\insrsid12413306 essere stato congedato il ________________________ per fine ferma quale _______________ \par {\pntext\pard\plain\fs20\insrsid12413306 \hich\af0\dbch\af0\loch\f0 [9]\tab}}\pard \qc \li0\ri0\widctlpar{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent283 {\pntxtb [}{\pntxta ]}}\faauto\ls1\rin0\lin0\itap0\pararsid12413306 { \fs20\insrsid12413306 aver svolto il servizio militare di leva quale obiettore di coscienza dal ______________________ \par }\pard \qc \fi426\li0\ri0\widctlpar{\*\pn \pnlvlcont\ilvl12\ls0\pnrnot0\pndec }\faauto\ilvl12\rin0\lin0\itap0\pararsid12413306 {\fs20\insrsid12413306 al _______________ presso ____________________________________________________ \par {\pntext\pard\plain\fs20\insrsid12413306 \hich\af0\dbch\af0\loch\f0 [10]\tab}}\pard \ql \fi426\li0\ri0\widctlpar\tx993\tx1418{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent283 {\pntxtb [}{\pntxta ]}} \faauto\ls1\rin0\lin0\itap0\pararsid12413306 {\fs20\insrsid12413306 essere in L.I.S.A. a decorrere dal _________________________________________________ \par {\pntext\pard\plain\fs20\insrsid12413306 \hich\af0\dbch\af0\loch\f0 [11]\tab}}\pard \qc \li0\ri0\widctlpar{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0\pndec\pnstart1\pnindent283 {\pntxtb [}{\pntxta ]}}\faauto\ls1\rin0\lin0\itap0\pararsid12413306 { \fs20\insrsid12413306 ____________________________________________________________________________ \par }\pard \qc \li0\ri0\sl360\slmult1\widctlpar\faauto\rin0\lin0\itap0 {\fs8\insrsid12413306 \par }\pard \ql \li0\ri0\widctlpar\faauto\rin0\lin0\itap0 {\fs20\insrsid12413306 La presente dichiarazione viene resa valida per le dichiarazioni di cui ai numeri (2) ___________________. \par }{\fs8\insrsid12413306 \par }\trowd \irow0\irowband0\ts11\trgaph70\trleft-70\trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4889\clshdrawnil \cellx4819\clvertalt \clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4889\clshdrawnil \cellx9708\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0 {\fs20\insrsid12413306 _______________________, l\'ec _______________ \cell }\pard \qc \li0\ri0\widctlpar\intbl\faauto\rin0\lin0 {\fs20\insrsid12413306 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid12413306 \trowd \irow0\irowband0 \ts11\trgaph70\trleft-70\trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4889\clshdrawnil \cellx4819\clvertalt\clbrdrt\brdrnone \clbrdrl \brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4889\clshdrawnil \cellx9708\row }\pard \ql \li0\ri0\widctlpar\intbl\faauto\rin0\lin0 {\insrsid12413306 }{\fs20\insrsid12413306 \cell }\pard \qc \li0\ri0\widctlpar\intbl\faauto\rin0\lin0 {\fs20\insrsid12413306 __________________________________ }{\fs16\insrsid12413306 (3)}{\fs20\insrsid12413306 \par }{\b\fs20\insrsid12413306 Firma del dichiarante }{\i\fs16\insrsid12413306 (per esteso e leggibile)}{\fs20\insrsid12413306 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\fs20\insrsid12413306 \trowd \irow1\irowband1\lastrow \ts11\trgaph70\trleft-70\trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4889\clshdrawnil \cellx4819 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4889\clshdrawnil \cellx9708\row }\pard \ql \li0\ri0\widctlpar\faauto\rin0\lin0\itap0 {\fs14\insrsid12413306 ------------------------- \par }\pard \qj \li0\ri0\widctlpar\faauto\rin0\lin0\itap0 {\fs14\insrsid12413306 (1) Cancellare le voci che non interessano. \par (2) Indicare i numeri che non sono stati cancellati. \par (3) La firma non va autenticata. \par }{\fs20\insrsid12413306 Esente da imposta di bollo ai sensi dell\rquote art. 37, comma 1, del D.P.R. 445/2000 e dell\rquote art. 14 della tabella allegato B) del D.P.R. 642/1972. \par }{\fs8\insrsid12413306 \par }\trowd \irow0\irowband0\lastrow \ts11\trgaph70\trleft-70\trbrdrt\brdrs\brdrw15 \trbrdrl\brdrs\brdrw15 \trbrdrb\brdrs\brdrw15 \trbrdrr\brdrs\brdrw15 \trftsWidth1\trpaddl70\trpaddr70\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw15 \clbrdrl \brdrs\brdrw15 \clbrdrb\brdrs\brdrw15 \clbrdrr\brdrs\brdrw15 \cltxlrtb\clftsWidth3\clwWidth9779\clshdrawnil \cellx9709\pard \ql \li284\ri0\widctlpar\intbl\faauto\rin0\lin284 {\b\fs16\insrsid12413306 \par }\pard \ql \li284\ri283\widctlpar\intbl\faauto\rin283\lin284 {\b\fs16\insrsid12413306 Art. 74 \endash D.P.R. n. 445/2000 \endash }{\b\i\fs16\insrsid12413306 Violazione dei doveri d\rquote ufficio.}{\i\fs16\insrsid12413306 \endash \par }\pard \ql \li284\ri283\widctlpar\intbl\tx142\faauto\rin283\lin284 {\i\fs16\insrsid12413306 1.\tab Costituisce violazione dei doveri d\rquote ufficio la mancata accettazione delle dichiarazioni sostitutive di certificazione o di atto di notoriet\'e0 rese a norma delle disposizioni del presente testo unico. \par }\pard \ql \li284\ri283\widctlpar\intbl\tx284\faauto\rin283\lin284 {\i\fs16\insrsid12413306 2.\tab Costituiscono altres\'ec violazioni dei doveri d\rquote ufficio: \par }\pard \ql \li284\ri283\widctlpar\intbl\tx284\tx567\faauto\rin283\lin284 {\i\fs16\insrsid12413306 a)\tab Le richiesta di certificati o di atti di notoriet\'e0 nei casi in cui, ai sensi dell\rquote art. 43, ci sia l\rquote obbligo del dipendente di accettare la dichiarazione sostitutiva; \par b)\tab Il rifiuto da parte del dipendente addetto di accettare l\rquote attestazione di stati, qualit\'e0 personali e fatti mediante l\rquote esibizione di un documento di riconoscimento; \par }\pard \qj \li284\ri283\widctlpar\intbl\faauto\rin283\lin284 {\i\fs16\insrsid12413306 c)\tab La richiesta e la produzione, da parte 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