Annex 1
DECLARATION 

Sponsor’s legal representative	
Full name		
Date and place of birth		

Role		
Address		
Telephone		
Email		

Sponsor	
Name		
Tax identity number (tax code, VAT number or equivalent – UTR, NIN, …)		

Address
		
Telephone		
Email and website		

This declaration is governed by articles 46 and 47 of Presidential Decree no. 455 of 28/12/2000 on declarations in lieu of certifications and affidavits.

I am aware of the liabilities and legal consequences arising from false declarations and from the use of falsified documents, and I accept that if this declaration is found to be false the benefits arising from it will be forfeited.

I DECLARE THAT:

-	I have read the public notice published on the website of the Italian Cultural Institute in London inviting sponsorship proposals and I accept, without reservation or exceptions, the provisions and conditions set out in the notice;

-	I meet the criteria listed in the aforementioned public notice;

-	None of the sponsor’s legal representatives is disqualifiable under artr. 94-95 of Legislative Decree no. 36 of 31 March 2023 and subsequent amendments, in particular as relates to criminal convictions; payment of taxes or welfare contributions in the sponsor’s home country, in Italy or in the country where the sponsorship takes place; bankruptcy; conflict of interest; professional misconduct; and other grounds for exclusion under Italian law or analogous grounds for exclusion under the law of the country where the sponsorship takes place;

-	None of the sponsor’s representatives is disqualifiable for reasons relating to anti-mafia legislation or preventive measures;

-	The sponsorship is consistent with the sponsor’s activity as it is described in the sponsor’s legal documentation/certificate of corporation.

I declare that the information provided above is true and correct.

I declare that there are no grounds for exclusion of the attached proposal and that the sponsor meets the stipulated criteria.

I accept, without reservation or exceptions, the provisions and conditions given in the public notice.

Place and date:

Full name and role