SCHEDA ANAGRAFICA
PERSONE FISICHE
COGNOME __________________________________________________________________________________
NOME: ______________________________________________________________________________________
SESSO : M F
DATA DI NASCITA: _______/_________/_________
LUOGO DI NASCITA: _________________________________________________________________________
CODICE FISCALE: ___________________________________________________________________________
PARTITA IVA: _______________________________________________________________________________
INDIRIZZO: ____________________________________________________________
CAP ____________ CITTA’: _______________________________________ PROVINCIA________
SOSTITUTO D’IMPOSTA: SI NO
TELEFONO _____________________________
CELLULARE 1 _____________________________
CELLULARE 2 _____________________________
FAX ___________________________________
E – MAIL: __________________________________@__________________________________________
PEC: __________________________________________________@_______________________________
Eventuale:
DATI DELLA SOCIETA’ ALLA QUALE FATTURARE LA PRESTAZIONE:
RAGIONE SOCIALE ___________________________________________
SEDE SOCIALE _______________________________________________
PARTITA IVA _________________________________________________
CODICE UNIVOCO _______________________________________________
PEC __________________________________@___________________________
E-MAIL _____________________________@______________________________
Allego copia documento di identità
Siracusa, li
Firma _________________________________________
