Registration form




Personal Data:


Salutation:

Mr
Mrs

Last name *):



First name *):



Date of birth (DD.MM.YYYY) *):



E-Mail *):



Phone number *):



Details about the dissertation:


Key field of doctoral thesis:



Subject :



Supervisor data:


Salutation :

Mr
Mrs

Title *):



Last Name *):



First Name *):



Mentor data:


Salutation :

Mr
Mrs

Title *):



Last Name *):



First Name *):



CV (PDF-Files only) *) :



No File saved



Supervision agreement (PDF-Files only) *) :



No File saved



Exception Permin - First Supervisor (PDF-Files only) :



No File saved



Exception Permin - Mentor (PDF-Files only) :



No File saved



Declaration:











     *) Mandatory field