Personal Data Form

* Required field

F&A Record - Ref *

Full Name (as in your document)

Last Name *

First Name *

Middle Name

Male

Female

Place and date of birth

City *

State - Region

Country - Nation *

Date of Birth (dd/mm/yyyy) *

Legal/permanent address

Address *

City *

Zip Code

State - Region

Country - Nation *

Contacts

Phone - Home - Office

Cellular Phone

Fax - Home - Office

Email *

Documents

Type of Document:

Passport *

Identity Card *

Identity Card (European Community and Schengen area only)

Issued by

Number

Nationality *

Italian Tax code

Date of Issue (dd/mm/yyyy)

Date of Expiration (dd/mm/yyyy)

Upload copy of your document max 1 MB

Entry Visa

Number

Issued by

Issued from (dd/mm/yyyy)

Issued to (dd/mm/yyyy)

Upload copy of your Entry Visa max 1 MB

General Info

Apt. record - Address

School - Work - Tourism, etc. *

Note

Date of submission (dd/mm/yyyy) *

I hereby authorize "Florence and Abroad Real Estate Agency" to use my personal data and to communicate to third parties in relation to the rental lease in accordance with the Italian law n° Dlgs 196/2003 (legal code in protection of personal data) and the General Data Protection Regulation (GDPR) UE 2016/679 on Privacy, including subsequent amendments, modifications, etc

Accept I have read the Privacy Policy, and I agree, pursuant to EU Regulation no. 2016/679, to the processing of my personal data for the purposes described therein. *

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