{"id":2222,"date":"2024-04-02T20:32:54","date_gmt":"2024-04-02T19:32:54","guid":{"rendered":"https:\/\/fanimar.it\/?page_id=2222"},"modified":"2024-04-04T15:12:13","modified_gmt":"2024-04-04T14:12:13","slug":"modulo-di-iscrizione-al-fondo-f-a-n-i-mar","status":"publish","type":"page","link":"https:\/\/fanimar.it\/en\/modulo-di-iscrizione-al-fondo-f-a-n-i-mar\/","title":{"rendered":"F.A.N.I.MAR Fund Application Form"},"content":{"rendered":"<div id=\"fws_69e72bc2b5c74\"  data-column-margin=\"default\" data-midnight=\"dark\"  class=\"wpb_row vc_row-fluid vc_row\"  style=\"padding-top: 0px; padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t<div class=\"nectar-highlighted-text\" data-style=\"full_text\" data-exp=\"default\" data-user-color=\"true\" style=\"color: #152f75;\" data-using-custom-color=\"false\" data-animation-delay=\"false\" data-color=\"\" data-color-gradient=\"\">\n<h2>F.A.N.I.MAR Fund Application Form<\/h2>\n<\/div>\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>\n\t\t<div id=\"fws_69e72bc2b7679\"  data-column-margin=\"default\" data-midnight=\"dark\"  class=\"wpb_row vc_row-fluid vc_row\"  style=\"padding-top: 0px; padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<div class=\"wpb_wrapper\">\n\t\t<div class=\"forminator-ui forminator-custom-form forminator-custom-form-2220 forminator-design--material  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-2220\" data-uid=\"69e72bc2b7e1b\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-2220\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-2220 forminator-design--material  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"2220\"\n\t\t\t\tenctype=\"multipart\/form-data\" data-color-option=\"default\" data-design=\"material\" data-grid=\"open\" style=\"display: none;\"\n\t\t\t\tdata-uid=\"69e72bc2b7e1b\" action=\"\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-2220--page-0\"\n\t\t\t\tclass=\"forminator-pagination forminator-pagination-start\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-2220--page-0-label\"\n\t\t\t\tdata-step=\"0\"\n\t\t\t\tdata-label=\"Dichiarazione di consenso dei dati sanitari\"\n\t\t\t\tdata-actual-label=\"Dati anagrafici\"\n\t\t\t\tdata-name=\"page-break-1\"\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12\"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-1_69e72bc2b7e1b\" id=\"forminator-field-first-name-1_69e72bc2b7e1b-label\" class=\"forminator-label\">Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-first-name\" placeholder=\"\" id=\"forminator-field-first-name-1_69e72bc2b7e1b\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"given-name\" value=\"\" \/><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-last-name-1_69e72bc2b7e1b\" id=\"forminator-field-last-name-1_69e72bc2b7e1b-label\" class=\"forminator-label\">Surname <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1-last-name\" placeholder=\"\" id=\"forminator-field-last-name-1_69e72bc2b7e1b\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" autocomplete=\"family-name\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_69e72bc2b7e1b\" id=\"forminator-field-text-1_69e72bc2b7e1b-label\" class=\"forminator-label\">Born in <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_69e72bc2b7e1b\" id=\"forminator-field-date-1-picker_69e72bc2b7e1b-label\" class=\"forminator-label\">date <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"\" id=\"forminator-field-date-1-picker_69e72bc2b7e1b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_69e72bc2b7e1b\" id=\"forminator-field-text-2_69e72bc2b7e1b-label\" class=\"forminator-label\">Fiscal Code <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_69e72bc2b7e1b\" id=\"forminator-field-text-3_69e72bc2b7e1b-label\" class=\"forminator-label\">Resident at <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"number-1\" class=\"forminator-field-number forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-number-1_69e72bc2b7e1b\" id=\"forminator-field-number-1_69e72bc2b7e1b-label\" class=\"forminator-label\">Zip <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-1\" value=\"\" placeholder=\"\" id=\"forminator-field-number-1_69e72bc2b7e1b\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" data-hidden-behavior=\"zero\" type=\"number\" step=\"any\" min=\"1\" max=\"99999\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_69e72bc2b7e1b\" id=\"forminator-field-text-4_69e72bc2b7e1b-label\" class=\"forminator-label\">City <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_69e72bc2b7e1b\" id=\"forminator-field-text-5_69e72bc2b7e1b-label\" class=\"forminator-label\">Province <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-4\"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_69e72bc2b7e1b\" id=\"forminator-field-text-9_69e72bc2b7e1b-label\" class=\"forminator-label\">Telephone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"\" id=\"forminator-field-text-9_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_69e72bc2b7e1b\" id=\"forminator-field-phone-2_69e72bc2b7e1b-label\" class=\"forminator-label\">Mobile phone<\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_69e72bc2b7e1b\" class=\"forminator-input forminator-field--phone\" data-required=\"\" aria-required=\"false\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_69e72bc2b7e1b\" id=\"forminator-field-email-1_69e72bc2b7e1b-label\" class=\"forminator-label\">Email <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_69e72bc2b7e1b\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" autocomplete=\"email\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_69e72bc2b7e1b\" id=\"forminator-field-text-6_69e72bc2b7e1b-label\" class=\"forminator-label\">Qualification <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_69e72bc2b7e1b\" id=\"forminator-field-text-7_69e72bc2b7e1b-label\" class=\"forminator-label\">Company <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"\" id=\"forminator-field-text-7_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-69e72bc2b7e1b-label\"><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"COM.TI\/D.M.\/ 1\u00b0UFF.LE\/CA.CO\"><input type=\"radio\" name=\"radio-1\" value=\"COM.TI-D.M.--1\u00b0UFF.LE-CA.CO\" id=\"forminator-field-radio-1-1-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">COM.TI\/D.M.\/ 1\u00b0UFF.LE\/CA.CO<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"MARITIME\"><input type=\"radio\" name=\"radio-1\" value=\"MARITTIMI\" id=\"forminator-field-radio-1-2-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">MARITIME<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"ADMINISTRATIVE\"><input type=\"radio\" name=\"radio-1\" value=\"AMMINISTRATIVI\" id=\"forminator-field-radio-1-3-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">ADMINISTRATIVE<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"PENSIONERS\"><input type=\"radio\" name=\"radio-1\" value=\"PENSIONATI\" id=\"forminator-field-radio-1-4-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">PENSIONERS<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"TRADE UNIONISTS\"><input type=\"radio\" name=\"radio-1\" value=\"OPERATORI-SINDACALI\" id=\"forminator-field-radio-1-5-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">TRADE UNIONISTS<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_69e72bc2b7e1b\" id=\"forminator-field-text-8_69e72bc2b7e1b-label\" class=\"forminator-label\">Applies for membership in F.A.N.I.MAR for the year <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"\" id=\"forminator-field-text-8_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-2\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-2-69e72bc2b7e1b-label\"><label id=\"forminator-field-radio-2-label-1\" for=\"forminator-field-radio-2-1-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"FASCIA SUP\"><input type=\"radio\" name=\"radio-2\" value=\"FASCIA-SUP\" id=\"forminator-field-radio-2-1-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-2-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">FASCIA SUP<\/span><\/label><label id=\"forminator-field-radio-2-label-2\" for=\"forminator-field-radio-2-2-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"FASCIA AD\"><input type=\"radio\" name=\"radio-2\" value=\"FASCIA-AD\" id=\"forminator-field-radio-2-2-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-2-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">FASCIA AD<\/span><\/label><label id=\"forminator-field-radio-2-label-3\" for=\"forminator-field-radio-2-3-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"FASCIA A\"><input type=\"radio\" name=\"radio-2\" value=\"FASCIA-A\" id=\"forminator-field-radio-2-3-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-2-label-3\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">FASCIA A<\/span><\/label><label id=\"forminator-field-radio-2-label-4\" for=\"forminator-field-radio-2-4-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"FASCIA B\"><input type=\"radio\" name=\"radio-2\" value=\"FASCIA-B\" id=\"forminator-field-radio-2-4-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-2-label-4\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">FASCIA B<\/span><\/label><label id=\"forminator-field-radio-2-label-5\" for=\"forminator-field-radio-2-5-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"FASCIA C\"><input type=\"radio\" name=\"radio-2\" value=\"FASCIA-C\" id=\"forminator-field-radio-2-5-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-2-label-5\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">FASCIA C<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"radio-3\" class=\"forminator-field-radio forminator-col forminator-col-12\"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-3-69e72bc2b7e1b-label\"><span id=\"forminator-radiogroup-radio-3-69e72bc2b7e1b-label\" class=\"forminator-label\">accepts in full the contents of the Fund's Articles of Association and Rules and Regulations, as well as the current and subsequent provisions laid down by the Board of Directors or the Management Committee to the extent of their competence. It undertakes to pay the annual membership contribution relative to the chosen bracket. Through (please cross) <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-3-label-1\" for=\"forminator-field-radio-3-1-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"Signing the proxy for the premium deduction in instalments through your employer\"><input type=\"radio\" name=\"radio-3\" value=\"Sottoscrizione-della-delega-per-la-trattenuta-del-premio-in-forma-rateale-per-tramite-del-proprio-datore-di-lavoro\" id=\"forminator-field-radio-3-1-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-3-label-1\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Signing the proxy for the premium deduction in instalments through your employer<\/span><\/label><label id=\"forminator-field-radio-3-label-2\" for=\"forminator-field-radio-3-2-69e72bc2b7e1b\" class=\"forminator-radio\" title=\"Direct payment by bank transfer order to the current account (made out to Fanimar) No.: 000100215555 A.B.I. 02008 C.A.B.: 01458 C.I.N.: Q IBAN CODE IT 11 Q 02008 01458 000100215555 UNICREDIT BANCA SPA\"><input type=\"radio\" name=\"radio-3\" value=\"Versamento-diretto-con-ordine-di-bonifico-bancario-sul-c-c-(intestato-al-Fanimar)-N.:-000100215555-A.B.I.-02008-C.A.B.:-01458-C.I.N.:-Q-CODICE-IBAN:-IT-11-Q-02008-01458-000100215555-UNICREDIT-BANCA-SPA\" id=\"forminator-field-radio-3-2-69e72bc2b7e1b\" aria-labelledby=\"forminator-field-radio-3-label-2\" data-calculation=\"0\"   data-hidden-behavior=\"zero\"\/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Direct payment by bank transfer order to the current account (made out to Fanimar) No.: 000100215555 A.B.I. 02008 C.A.B.: 01458 C.I.N.: Q IBAN CODE IT 11 Q 02008 01458 000100215555 UNICREDIT BANCA SPA<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-1\" class=\"forminator-field-section forminator-col forminator-col-12  .forminator-subtitle { font-size: 12px !important; }\"><div class=\"forminator-field\"><h3 class=\"forminator-subtitle\">This payment for those who do not have a deduction through their employer shall be made directly by the person concerned. The membership and the related commitment to pay the annual contribution shall be understood to be tacitly renewed from year to year, unless personally terminated in writing to be sent to Fanimar by 30 September of any year by registered letter.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-2\" class=\"forminator-field-section forminator-col forminator-col-12  .forminator-subtitle { font-size: 12px !important; }\"><div class=\"forminator-field\"><h3 class=\"forminator-subtitle\">FAMILY NUCLEAR COMPOSITION (The household is to be understood as the household as shown in the Family Status Report and in any case limited to parents, children, spouse or spouse more uxorio - any changes must be communicated) Attach Family Status Report<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"group-1\" class=\"forminator-field-group forminator-col forminator-col-12\"><label class=\"forminator-label forminator-repeater-label\">Family unit<\/label><div class=\"forminator-all-group-copies forminator-repeater-field\"><div class=\"forminator-grouped-fields\" data-options=\"{&quot;is_repeater&quot;:true,&quot;min_type&quot;:&quot;custom&quot;,&quot;max_type&quot;:&quot;custom&quot;,&quot;min&quot;:1,&quot;max&quot;:9223372036854775807,&quot;add_text&quot;:&quot;Add item&quot;,&quot;remove_text&quot;:&quot;Remove item&quot;,&quot;action_element_type&quot;:&quot;button&quot;}\"><div class=\"forminator-row\"><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_69e72bc2b7e1b\" id=\"forminator-field-name-2_69e72bc2b7e1b-label\" class=\"forminator-label\">Surname and First Name<\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" autocomplete=\"name\" \/><\/div><\/div><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_69e72bc2b7e1b\" id=\"forminator-field-date-2-picker_69e72bc2b7e1b-label\" class=\"forminator-label\">Date of birth<\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"\" id=\"forminator-field-date-2-picker_69e72bc2b7e1b\" class=\"forminator-input forminator-datepicker\" data-required=\"\" data-format=\"dd-mm-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_69e72bc2b7e1b\" id=\"forminator-field-text-10_69e72bc2b7e1b-label\" class=\"forminator-label\">Fiscal Code (mandatory)<\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"\" id=\"forminator-field-text-10_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_69e72bc2b7e1b\" id=\"forminator-field-text-11_69e72bc2b7e1b-label\" class=\"forminator-label\">Degree of relationship<\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"\" id=\"forminator-field-text-11_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row forminator-action-buttons\"><div class=\"forminator-col forminator-col-12\"><input type=\"button\" value=\"Add item\" class=\"forminator-repeater-action-button forminator-repeater-add\" \/><input type=\"button\" value=\"Remove item\" class=\"forminator-repeater-action-button forminator-repeater-remove\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_69e72bc2b7e1b\" id=\"forminator-field-upload-1_69e72bc2b7e1b-label\" class=\"forminator-label\">Family status (max 2MB) <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload\" data-element=\"upload-1_69e72bc2b7e1b\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_69e72bc2b7e1b\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.gif,.png,.bmp,.tiff,.tif,.webp,.ico,.heic,.asf,.asx,.wmv,.wmx,.wm,.avi,.divx,.flv,.mov,.qt,.mpeg,.mpg,.mpe,.mp4,.m4v,.ogv,.webm,.mkv,.3gp,.3gpp,.3g2,.3gp2,.txt,.asc,.c,.cc,.h,.srt,.csv,.tsv,.ics,.rtx,.vtt,.mp3,.m4a,.m4b,.aac,.ra,.ram,.wav,.ogg,.oga,.flac,.mid,.midi,.wma,.wax,.mka,.rtf,.pdf,.class,.tar,.zip,.gz,.gzip,.7z,.psd,.xcf,.doc,.pot,.pps,.ppt,.wri,.xla,.xls,.xlt,.xlw,.mdb,.mpp,.docx,.docm,.dotx,.dotm,.xlsx,.xlsm,.xlsb,.xltx,.xltm,.xlam,.pptx,.pptm,.ppsx,.ppsm,.potx,.potm,.ppam,.sldx,.sldm,.onetoc,.onetoc2,.onetmp,.onepkg,.oxps,.xps,.odt,.odp,.ods,.odg,.odc,.odb,.odf,.wp,.wpd,.key,.numbers,.pages,.woff,.woff2,.ttf,.eot,.otf,.redux\" tabindex=\"-1\"><button id=\"forminator-field-upload-1_69e72bc2b7e1b_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_69e72bc2b7e1b\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"consent-1\" class=\"forminator-field-consent forminator-col forminator-col-12\"><div class=\"forminator-field\"><div class=\"forminator-checkbox__wrapper\"><label id=\"forminator-field-consent-1_69e72bc2b7e1b__label\" class=\"forminator-checkbox forminator-consent\"><input type=\"checkbox\" name=\"consent-1\" id=\"forminator-field-consent-1_69e72bc2b7e1b\" value=\"checked\" aria-labelledby=\"forminator-field-consent-1_69e72bc2b7e1b-label\" aria-describedby=\"forminator-field-consent-1_69e72bc2b7e1b__description\" data-required=\"true\" aria-required=\"true\" \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><\/label><div id=\"forminator-field-consent-1_69e72bc2b7e1b__description\" class=\"forminator-checkbox__label forminator-consent__label\"><p>I declare that I have read <a rel=\"noopener\" target=\"_blank\" href=\"https:\/\/fanimar.it\/wp-content\/uploads\/2024\/04\/fanimar_modulo_iscrizione_privacy.pdf\">of the information annexed to this Fund registration form.<\/a><\/p><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-5\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-5-picker_69e72bc2b7e1b\" id=\"forminator-field-date-5-picker_69e72bc2b7e1b-label\" class=\"forminator-label\">Date <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-5\" value=\"\" placeholder=\"\" id=\"forminator-field-date-5-picker_69e72bc2b7e1b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm-dd-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div\n\t\t\t\ttabindex=\"-1\"\n\t\t\t\trole=\"tabpanel\"\n\t\t\t\tid=\"forminator-custom-form-2220--page-1\"\n\t\t\t\tclass=\"forminator-pagination\"\n\t\t\t\taria-labelledby=\"forminator-custom-form-2220--page-1-label\"\n\t\t\t\taria-hidden=\"true\"\n\t\t\t\tdata-step=\"1\"\n\t\t\t\tdata-label=\"Dati anagrafici\"\n\t\t\t\tdata-actual-label=\"Dichiarazione di consenso dei dati sanitari\"\n\t\t\t\tdata-name=\"\"\n\t\t\t\thidden\n\t\t\t><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"section-4\" class=\"forminator-field-section forminator-col forminator-col-12\"><div class=\"forminator-field\"><h3 class=\"forminator-subtitle\">DECLARATION OF CONSENT TO THE PROCESSING OF HEALTH DATA<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_69e72bc2b7e1b\" id=\"forminator-field-text-16_69e72bc2b7e1b-label\" class=\"forminator-label\">I, the undersigned <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-16\" value=\"\" placeholder=\"\" id=\"forminator-field-text-16_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_69e72bc2b7e1b\" id=\"forminator-field-text-17_69e72bc2b7e1b-label\" class=\"forminator-label\">born in <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-17\" value=\"\" placeholder=\"\" id=\"forminator-field-text-17_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-6\" class=\"forminator-field-date forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-date-6-picker_69e72bc2b7e1b\" id=\"forminator-field-date-6-picker_69e72bc2b7e1b-label\" class=\"forminator-label\">date <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-6\" value=\"\" placeholder=\"\" id=\"forminator-field-date-6-picker_69e72bc2b7e1b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm-dd-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6\"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_69e72bc2b7e1b\" id=\"forminator-field-text-18_69e72bc2b7e1b-label\" class=\"forminator-label\">Fiscal Code <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-18\" value=\"\" placeholder=\"\" id=\"forminator-field-text-18_69e72bc2b7e1b\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-3\" class=\"forminator-field-section forminator-col forminator-col-12  .forminator-subtitle { font-size: 14px !important; font-weight: bolder !important; }\"><div class=\"forminator-field\"><h3 class=\"forminator-subtitle\">noted:<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-6\" class=\"forminator-field-section forminator-col forminator-col-12  .forminator-subtitle { font-size: 12px !important; }\"><div class=\"forminator-field\"><h3 class=\"forminator-subtitle\">(i) the PRIVACY POLICY set out above (pages 1-4) and the rights recognised therein, including the right to withdraw consent;<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-7\" class=\"forminator-field-section forminator-col forminator-col-12  .forminator-subtitle { font-size: 12px !important; }\"><div class=\"forminator-field\"><h3 class=\"forminator-subtitle\">(ii) that Fanimar in order to fulfil the requests for Benefits will need to collect and process Health Data;<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-8\" class=\"forminator-field-section forminator-col forminator-col-12  .forminator-subtitle { font-size: 12px !important; }\"><div class=\"forminator-field\"><h3 class=\"forminator-subtitle\">(iii) that for the correct and lawful processing of Health Data my express and explicit consent is required, and that in the absence thereof Fanimar shall not be able to process such data and shall not be able to proceed with the provision of the Service;<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"section-9\" class=\"forminator-field-section forminator-col forminator-col-12  .forminator-subtitle { font-size: 12px !important; }\"><div class=\"forminator-field\"><h3 class=\"forminator-subtitle\">I expressly and explicitly give my consent to Fanimar, as Data Controller, to process my Health Data in order to carry out the provision of the Services at the time when I make the appropriate request.<\/h3><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-7\" class=\"forminator-field-date forminator-col forminator-col-12\"><div class=\"forminator-field\"><label for=\"forminator-field-date-7-picker_69e72bc2b7e1b\" id=\"forminator-field-date-7-picker_69e72bc2b7e1b-label\" class=\"forminator-label\">Date <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-7\" value=\"\" placeholder=\"\" id=\"forminator-field-date-7-picker_69e72bc2b7e1b\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm-dd-yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled><span class=\"forminator-button--mask\" aria-label=\"hidden\"><\/span><span class=\"forminator-button--text\">Send membership<\/span><\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"de0269a880\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/2222\" \/><input type=\"hidden\" name=\"form_id\" value=\"2220\"><input type=\"hidden\" name=\"page_id\" value=\"2222\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/fanimar.it\/en\/modulo-di-iscrizione-al-fondo-f-a-n-i-mar\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n\t<\/div>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>","protected":false},"excerpt":{"rendered":"Modulo di Iscrizione al Fondo F.A.N.I.MAR Nome *Cognome *Nato a *il *Codice Fiscale *Residente in via *Cap *Citt\u00e0 *Provincia *Telefono *CellulareEmail *Qualifica *Societ\u00e0 *COM.TI\/D.M.\/ 1\u00b0UFF.LE\/CA.COMARITTIMIAMMINISTRATIVIPENSIONATIOPERATORI SINDACALIChiede di essere iscritto al...","protected":false},"author":3,"featured_media":1224,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2222","page","type-page","status-publish","has-post-thumbnail"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/fanimar.it\/en\/wp-json\/wp\/v2\/pages\/2222","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fanimar.it\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fanimar.it\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fanimar.it\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/fanimar.it\/en\/wp-json\/wp\/v2\/comments?post=2222"}],"version-history":[{"count":4,"href":"https:\/\/fanimar.it\/en\/wp-json\/wp\/v2\/pages\/2222\/revisions"}],"predecessor-version":[{"id":2261,"href":"https:\/\/fanimar.it\/en\/wp-json\/wp\/v2\/pages\/2222\/revisions\/2261"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fanimar.it\/en\/wp-json\/wp\/v2\/media\/1224"}],"wp:attachment":[{"href":"https:\/\/fanimar.it\/en\/wp-json\/wp\/v2\/media?parent=2222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}