Declaration under art. 13 of Legislative Decree no. 196 dated 30/06/2003 (Italy Privacy law)

I, the undersigned, hereby declare that I have received complete information pursuant to art. 12 of Legislative Decree no. 196 dated 30/06/2003 and consent to treatment, disclosure and publication of my personal information, declaring that I am aware of my rights under the above-mentioned Legislative Decree.