AL DIRIGENTE SCOLASTICO
				I.C. “P.Borsellino”
				87020 S.Maria del Cedro (CS)			
Oggetto: Richiesta nulla osta

ALUNNO\A______________________________________________

classe_______________a.s.______________

       I Sottoscritti _____________________________________________________

                            _______________________________________________gentitori    

dell'alunn____________________________________________________________

nato/a a ____________________________________ il _______________________

residente a ________________________ in Via _____________________________

CHIEDONO 

nulla osta al trasferimento in altro Istituto: 

___________________________________________________________________ ,

per i seguenti motivi:  

___________________________________________________________________.

_____________________lì_____________                 
FIRME

			__________________________

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