Application form and contextual self-certification (according to Italian Legislation art. 46 Of d. P. R. n. 445 Of 28/12/2000) Self-declaration affidavit



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ANNEX A

APPLICATION FORM AND CONTEXTUAL

SELF-CERTIFICATION

(according to Italian Legislation art. 46 OF D.P.R. n. 445 OF 28/12/2000)
Self-declaration affidavit

(according to Italian Legislation art. 19 and art. 47 of D.P.R. n. 445 of 28/12/2000)
The undersigned

Name and Surname

Place and date of birth

Residence address

Fiscal Code

VAT number

















request

To participate in the selection procedure for External Experts on (it is admitted only one selection):






a) “Sustainable Built Environment Assessment Tools” Area



b) “Sustainable Built Environment Assessment and Certification Processes” Area



c) “Sustainable Built Environment Training” Area



d) “Sustainable Built Environment Software Development and Communication” Area

for the implementation of activities under the project “CESBA Alps - Sustainable Territories”, co-financed under the Interreg Alpine Space Programme 2014-2020. To this end, he


DECLARES

under its responsibility, aware of the penalties provided for by art. 76 of DPR 445/2000 in case of misrepresentation:



  1. to have the following qualification:

……………………………………………………………………………………………………

  1. to be registered in the professional register of:

Name and Surname

Register

Registration n.

Province/State

Date of registration



















  1. that the enclosed curriculum vitae (Europass format) is true and that the qualifications indicated comply with the original certificates;

  2. to have read the Call for applicants and to be able of carrying out the professional services requested by the job profile;

  3. to commit to carry out the required professional activities, if selected, in form of "in-house consultant" at the headquarters of iiSBE Italia R&D Srl, Environment Park - Via Livorno 60, Turin, Italy;

A photocopy of the identity document has been enclosed.


Place, date Signature______________________

Information according to the article 13 of D.Lgs.196 / 2003: the above data are prescribed for the purposes of proceedings for which they are required and will be used exclusively for this purpose

ANNEX B


summary of the main experiences of the candidate
a) “Sustainable Built Environment Assessment Tools” Area (max 800 character for experience)


Carrying out technical activities related to the development and application of criteria, indicators and tools for the assessment of the level of sustainability of the built environment in the frame of European research projects (Interreg, H2020, FP7, etc.)

















Participation in working groups and international research activities for the study of transnational sustainability assessment criteria, indicators and tools for the built environment

















Development of generic methodologies and frameworks at national or international level for the sustainability assessment of the built environment

















Development of local or national technical standards for the sustainability assessment of the built environment











ANNEX B


summary of the main experiences of the candidate
b) “Sustainable Built Environment Assessment and Certification Processes” Area (max 800 character for experience)


Carrying out technical activities related to the testing of indicators and tools for assessing the sustainability of the built environment

















Participation in working groups at national or regional level for the development of certification systems based on the use of technical standards for the assessment of the level of sustainability of the built environment

















Management of certification processes related to technical standards for the assessment of the built environment sustainability















Development and testing of local or national technical standards for the assessment of the sustainability of the built environment










ANNEX B


summary of the main experiences of the candidate
c) “Sustainable Built Environment Training” Area (max 800 character for experience)


Coordination and management of transnational projects related to the design and testing of training systems (traditional training and technologies-based training)

















Participation in working groups at transnational, national and regional level on the definition of shared training standards and the testing of innovative teaching methods for training and retraining of adults

















Designing, managing and monitoring training programs in the specific technical field of the sustainability of the built environment














ANNEX B


summary of the main experiences of the candidate
d) “Sustainable Built Environment Software Development and Communication” Area (max 800 character for experience)


Contribution to the development of local or national technical standards activities for the assessment of the sustainability of the built environment

















Design and development of software applications aimed at the assessment of the built environment sustainability

















Development of communication and dissemination tools in the context of transnational projects
















ANNEX C
financial offer
Amount offered

The undersigned …………………… ….…..….., born in …………..…………………….…. on ………..……., resident in…………………………………………………………………., Fiscal Code ……………………….., under his own responsibility,


DECLARES
to offer, for carrying out the task of External Expert on (it is admitted only one selection):




a) “Sustainable Built Environment Assessment Tools” Area



b) “Sustainable Built Environment Assessment and Certification Processes” Area



c) “Sustainable Built Environment Training” Area



d) “Sustainable Built Environment Software Development and Communication” Area

for the implementation of activities under the project "CESBA Alps - Sustainable Territories", co-financed under the Interreg Programme 2014-2020 Alpine Space, the following amount, including social security contributions (including any supplementary contribution of one's Social Security Fund), travel expenses, food and lodging (referring to international meetings, local and regional meetings planned by the project), excluding VAT.




Amount offered (excluding VAT)

In figures

In words








Place, date Signature______________________



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