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How to fill out the Modulo Revoca Autoesclusione.doc. Image online
This guide provides clear and detailed instructions for completing the Modulo Revoca Autoesclusione form online. By following these steps, users can efficiently fill out the necessary information required for revoking self-exclusion.
Follow the steps to complete the form accurately.
- Press the ‘Get Form’ button to access the Modulo Revoca Autoesclusione.doc. Image and open it in your editing environment.
- In Section A, fill in your personal information. Enter your first name (NOME) in the designated field, followed by your date of birth (DATA DI NASCITA), tax code (CODICE FISCALE), surname (COGNOME), and place of birth (LUOGO DI NASCITA).
- Proceed to Section B. Here, you need to provide your gaming account identification number (NUMERO CONTO DI GIOCO) in the appropriate space.
- In Section C, specify the reason for your self-exclusion (MOTIVO DELL’AUTOESCLUSIONE). Provide a detailed explanation in the space given.
- Attach a copy of the front and back of a valid identification document (DOCUMENTO DI RICONOSCIMENTO) to your request.
- Fill in the date you are requesting the revocation of self-exclusion (DATA RICHIESTA REVOCATION AUTOESCLUSIONE).
- Finally, sign the form in the designated signature area to validate your request.
- After completing all sections, you can save your changes, download the document, print it, or share it as needed.
Complete the Modulo Revoca Autoesclusione form online today!
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