J-7 Communicazione Antimafia self-cert form.pdf

This document is an Italian "Autocertificazione della Comunicazione Antimafia" (Self-Certification of Anti-Mafia Communication), a standardized form used for legal declarations in Italy. The form requires an individual to provide personal details such as name, birthplace, fiscal code, and residence address.

The self-certification includes a declaration of legal responsibility, specifically affirming that the individual is aware of potential criminal penalties for false statements under Articles 75 and 76 of Presidential Decree 28 December 2000, n. 445. The form states that the declarant has no legal impediments or disqualifications as outlined in Article 67 of Legislative Decree 06/09/2011 n° 159. A copy of the individual's identification document must be attached to the form, and the declaration can be used for public and private administrative purposes without requiring additional authentication.