____________,li__________				AL DIRIGENTE SCOLASTICO
				__________________________
				__________________________
						________________

Oggetto: Richiesta nulla osta

ALUNNO\A______________________________________________

classe_______________a.s.______________

       Il/La sottoscritt _________________________________________ padre\madre 

dell'alunn____________________________________________________________

nato/a a ____________________________________ il _______________________

residente a ________________________ in Via _____________________________

C H I E D E 

nulla osta al trasferimento in altro Istituto: 

____________________________________________________________________

___________________________________________________________________ ,

per i seguenti motivi  ___________________________________________________

___________________________________________________________________.

FIRMA

			__________________________