PHD PROGRAMME
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STUDENT Nº _______________/ D
Dear Sir
Vice President of the Scientific Board
Professor Leonel Sousa
Instituto Superior Técnico
Post-Graduate and
Advanced Training Unit
Student’s Name:_____________________________________________________________
I hereby request acceptance for the inclusion of a Co-Supervisor (s) in my PhD Programme:
∆
∆
Co-Supervisor full name
Affiliation
∆
E-mail
∆
∆
Co-Supervisor full name
Affiliation
∆
E-mail
Basis for proposal to include Scientific Co-Supervisor:
Lisboa, ______/_____/______
__________________________
(student signature)
I agree with the request
I agree with the request
I agree with the request
Lisboa, ______/_____/______
Lisboa, ______/_____/______
Lisboa, ______/_____/______
__________________________________
The Supervisor
___________________________________
The Co-supervisor
(if formalized)
_________________________________
The Co-supervisor (new)
I agree with the request
Scientific Board Acceptance
Lisboa, ______/_____/______
Lisboa, ______/_____/______
_____________________________________
The PhD Programme Coordinator
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