*Name
*Family name
*Date of birth
*Country of birth
*Nationality
*Gender
Permanent address
*Address
*City
*Province
*Country
Temporary address (if different from permanent address)
Address
City
Province
Country
*Passport number (if extra EU) or identitycard (if EU)
*Telephone
*Mobile
*E-mail address
CUS Torino P.Iva 05922830012 - Sede sociale: Via Paolo Braccini 1 - Torino - Tel. 011.38.83.07 / 011.33.72.21 - fax 011.382.73.94 - segreteria@custorino.it
