Joint or Double PhD
Procedure for the PhD discussion 

                                                                                            		To the Rector 
									University of Padova

FINAL EXAMINATION FORM 

(Name and surname) __________________________________________ enrollment no. ______________
Born in ________________________________________________on_______________________
Address (street and number) ________________________________________________________ 
Postal Code_______________City_____________________________ State_________________________
Official residence_________________________________________________________________
Postal Code_______________City_____________________________ State_________________________
e-mail _____________________________________________ tel. no _________________________
enrolled in the PhD Course PhD _____________________________________________________ 
______________________________________________________________________________________
PhD thesis title ___________________________________________________________________ 
______________________________________________________________________________________
______________________________________________________________________________________
Supervisor _______________________________________________________________________ 

I attach the following documentation: 

□ a print copy of the thesis for deposit in the archives of the University, signed by the candidate and one or both of the supervisors; 

□ receipt attesting the deposit of electronic theses on the site http://paduaresearch.cab.unipd.it/dottorato/ 

□ waver concerning the electronic filing of the thesis on the site http://paduaresearch.cab.unipd.it/dottorato/ 

□ receipt of payment of EUR 16.00 made on postal account payable to University of Padova - service order (write “imposta di bollo per diploma di dottorato”) 
IBAN: IT38I0760112100000014960355 
BIC - BANK IDENTIFIER CODE: BPPIITRRXXX

□ attestation signed by the supervisor of the period spent in Padua 

The undersigned declares that the commitment to return the student badge following the discussion of the thesis. 

							_________________________ 
                                                                                                (signature of applicant)

□ receipt by the								                                                                                                 UNIPD Servizio Formazione alla Ricerca

Padova,______________________