____________,li__________				 AL DIRIGENTE SCOLASTICO
				      DELL’  IC MILANI 
					       FONDI

Oggetto: Richiesta nulla osta

ALUNNO\A______________________________________________

classe_______________a.s.______________

       I sottoscritti : ____________________________________________________________________

____________________________________________________________________
 
Genitori
dell'alunn____________________________________________________________

nato/a a ____________________________________ il _______________________

residente a ________________________ in Via _____________________________

C H I E D O N O 

nulla osta al trasferimento in altro Istituto: 

____________________________________________________________________

___________________________________________________________________ ,

per i seguenti motivi  ___________________________________________________

___________________________________________________________________.

FIRMA
			______________________________
			
			______________________________