|
Name/Surname*
|
| |
Zahra Mafibaniasadi
|
|
Place of birth
|
| |
Shiraz Iran
|
|
Date of birth
|
| |
18/12/1994
|
|
Fiscal Code (Italy or 000000 if foreigner)
|
| |
000
|
|
Email
|
| |
zahram@iisc.ac.in
|
| FISCAL DATA |
|
Name/Surname – Company
|
| |
Indian Institute of Science
|
|
Address
|
| |
Indian Institute of Science , CV Raman road
bangalore, Bangalore 560012
India
Map It
|
|
VAT n. (only for company or University)
|
| |
000
|
|
Fiscal code (Italy of 000000 if foreigner)
|
| |
000
|
|
Payment
|
| |
Carta di Credito
|
|
Carta di credito
|
| |
MasterCard
XXXXXXXXXXXX2934
|
|
Ordine
|
| |
| Prodotto |
Quantità |
Prezzo unitario |
Prezzo |
|
Students (social dinner not included)
|
1 |
300,00 € |
300,00 € |
|
No
|
1 |
0,00 € |
0,00 € |
| |
Subtotale |
300,00 €
|
| |
Totale |
300,00 € |
|
