PHD PROGRAMME ________________________________________________________________________ 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 change of the Co-Supervisor (s) in my PhD Programme: ∆ Co-Supervisor full name ∆ Affiliation ∆ E-mail Basis for proposal to change the Scientific Co-Supervisor: Lisboa, ______/_____/______ ____________________________________________ (student signature) Note: If there is any change in the Research Plan, please attach the new Plan signed by the Supervisor. I agree with the request I agree with the request I agree with the request Lisboa, ______/_____/______ Lisboa, ______/_____/______ Lisboa, ______/_____/______ __________________________________ The Supervisor ___________________________________ The Co-supervisor (previous) _________________________________ The Co-Supervisor (new) I agree with the request Scientific Board Acceptance Lisboa, ______/_____/______ Lisboa, ______/_____/______ _____________________________________ The PhD Programme Coordinator ___________________________________