Cognome*:
Surname* :
Nome*:
Name*:
Indirizzo completo*:
Full address*:
Nazione*:
Country*:
Nazione
Abruzzo
Basilicata
Calabria
Campania
Emilia Romagna
Friuli Venezia Giulia
Lazio
Liguria
Lombardia
Marche
Molise
Piemonte
Puglia
Sardegna
Sicilia
Toscana
Trentino Alto Adige
Umbria
Valle d'Aosta
Veneto
Austria
Belgium
Bulgaria
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Ireland
Latvia
Lithuania
Luxembourg
Malta
Netherlands
Netherlands Antilles
Poland
Portugal
Romania
Slovenia
Spain
Sweden
United Kingdom
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegowina
Botswana
Brazil
Brunei Darussalam
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Capo Verde island
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, democratic republic of the
Congo, Republic of
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia, republic of
Cuba
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Ethiopia
Falkland Islands
Fiji
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Ghana
Gibraltar
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-bissau
Guyana
Haiti
Honduras
Hong Kong
Iceland
India
Indonesia
Iran
Iraq
Israel
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Lebanon
Lesotho
Lesotho
Liberia, Republic of
Libyan Arab Jamahiri
Liechtenstein
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Puerto Rico
Qatar
Reunion
Russian Federation
Rwanda
São Tomé and Príncipe, Democratic Republic of
Saint Helena
Saint Kitts and Nevi
Saint Lucia
Saint Pierre and Mique
Saint Vincent and the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovak Republic
Solomon Islands
Somalia
South Africa
Sri Lanka
Sudan
Suriname
Svalbard
Swaziland
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Island
Tuvalu
Uganda
Ukraine
United Arab Emirates
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (U.S.)
Wallis e Futuna
Western Sahara
Western Samoa
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
E-mail*:
Tel*:
Fax:
Ente*:
Affiliation*:
Nome dell’ente/società di afferenza
(in caso di afferenza a ente/società, in caso contario riportare 'altro') *:
Institution/Company name
(if affiliate
to an Institution/a Company, otherwise please type 'other') *:
Selezionare - Select
ARPA/APPA
ISPRA
Università - University
CNR - CNRS
ENEA
Altro ente pubblico di ricerca - Other Public Research Institute
Ente di ricerca privato - Private Research Institute / Consultancy
Ente pubblico (non di ricerca) - Public Institute/Body (non-Research)
Associazione - Association
Docente - Teacher
Studente universitario - Student (University)
Studente (altro) - Student (other)
Società privata
Libero professionista - Freelance
Pescatore - Angler
Amante della natura - Nature lover
Altro - Other
Environment Agency
Ruolo*:
Role*:
Principale utilizzo
dei dati*:
Main use of the
data*:
Laurea/Titolo di studio*:
Degree/Qualification*:
Selezionare - Select
Confronto con analoghi dati, preesistenti dalle stesse regioni del progetto (Comparison with data of the same kind, already available from the same regions)
Confronto con analoghi dati, preesistenti da regioni differenti (Comparison with data of the same kind, already available from different regions)
Confronto con dati biologici o ambientali di altra natura (Comparison with biological or environmental data of different kind)
Utilizzo come metadati in revisioni o altre pubblicazioni (Use as metadata in reviews or other publications)
Utilizzo delle liste faunistiche come esercizio per il calcolo delle metriche STAR_ICMi (Use of taxalists as exercise for STAR_ICMi metrics calculation)
Didattica (Lectures)
A fini di studio (General study aims)
Ricerca (Research)
Curiosità (Curiosity)
Altro (Other)
Descrivi per sommi capi i Progetti / le Attività per i quali intendi utilizzare i dati: (max 4 righe)*
Please briefly describe projects/activities you intend to use the data: (max 4 rows)*
Acconsento al trattamento dei miei dati personali ai sensi del D.Lgs 196/2003 *
I hereby give my consent for processing my personal data pursuant to D.Lgs 196/2003 (Italy) *