APPLICATION FOR ADMISSION TO THIRD-CYCLE ...

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Nov 23, 2011 - Instructions for the applicant. Present affiliation, if any, with other university, please specify which:
APPLICATION FOR ADMISSION TO THIRD-CYCLE (POSTGRADUATE) STUDIES Reg. No.

Personal data (to be completed by the applicant) Civic registration number/Date of birth

Gender

Female Surname

First name(s)

Home address

c/o

Postal/zip code

Postal address/City

Male

Telephone

E-mail

Present affiliation, if any, with other university, please specify which*

Information about basic degree/higher education (to be completed by the applicant) Degree/certificate/diploma

Date

University

Country

Studies intended by the application (to be completed by the applicant) Subject

First term

Intended degree

PhD

Licentiate

Date

Change of subject

Signature

BESLUT To be completed by the department Antas till utbildning på forskarnivå i ämnet Fakultet

Fr.o.m. (datum) Institution

Antagningen syftar till

Doktorsexamen

Avsedd förled i examensbenämning (om alternativ finns)

Licentiatexamen

Doktorsexamen (senare del)

Huvudhandledare

Institution

Titel

Bitr. handledare

Institution

Titel

Ansökan avslås På fakultetsnämndens vägnar

Beslutsdatum

Underskrift

Namnförtydligande

2(2)

COMPLETING THE APPLICATION FORM For further information, see http://www.uu.se/en/node76. If you need more advice, contact the responsible department or faculty. Instructions for the applicant Present affiliation, if any, with other university, please specify which: Only to be filled in if you are employed by a university not offering third-cycle degrees in the relevant subject. Information about basic degree/higher education: Certified photocopies of any degree certificates should be attached to the application form. Change of subject: The degree will be granted in the subject you have been admitted to. A change of subject requires a new decision of admission. The decision must be made before the thesis is handed in for printing. Translation of the Swedish section of the form (not to be filled in) DECISION Admitted to third-cycle studies in the subject Faculty

From. (date) Department

Intended degree

PhD

Licentiate

Name of intended degree (if necessary)

PhD (after Licentiate or equivalent degree)

Head supervisor

Department

Title

Deputy supervisor

Department

Title

Application rejected On behalf of the Faculty Board

Instructions for the department Antagningen syftar till: Ansökan och antagning till utbildning på forskarnivå avser något av alternativen doktorsexamen (fyra års heltidsstudier) och licentiatexamen (två års heltidsstudier). Om en person tidigare antagits till utbildning på forskarnivå syftande till licentiatexamen eller avlagt licentiatexamen vid ett annat lärosäte anges doktorsexamen, senare del (två års heltidsstudier). Avsedd förled i examensbenämning: Fylls i när alternativa examensbenämningar finns inom fakulteten. Detta gäller teologisk fakultet (teologie eller filosofie), samhällsvetenskaplig fakultet (filosofie eller ekonomie) och teknisk-naturvetenskaplig fakultet (filosofie eller teknologie). Individuell studieplan skall bifogas när beslutet sänds in till områdeskansliet. En kopia av den beviljade och diarieförda ansökan skickas till Uppdok-enheten.

Uppdok-enheten, 2011-11-23