Graduate school of health and medical sciences university of copenhagen



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GRADUATE SCHOOL OF HEALTH AND MEDICAL SCIENCES

UNIVERSITY OF COPENHAGEN



APPLICATION FOR SUBMITTING A PHD THESIS
WITHOUT PREVIOUS ENROLMENT (§ 15 stk. 2)



Section 15 (2) in the Ministerial Order on the PhD Programme at the Universities
In special cases the university may decide that a thesis may be accepted for assessment without the author having completed the PhD programme, if the university assesses that the author has in other ways acquired other comparable qualifications”.

When completed the form must be send to phdschool@sund.ku.dk
Application fee: DKK 40.000.

Contact Information

Name of applicant

     

Civ. Reg. No. (cpr.nr.)

     

Address

     

Postal code and city

     

Email

     

Telephone number

     



University representative who has accepted to guide me in connection with my PhD defence

*Must be employed at the Faculty of Health and Medical Sciences as either a professor or associate professor



Full name

     

Academic and professional title

     

Address

     

Email

     

Phone number

     

Which center or department at the Faculty of Health and Medical Sciences is the university representative attached to?

     




Information regarding the PhD thesis

Title of PhD thesis

     

Have you participated in courses of min.

30 ECTS credits?



Yes:      No:     

Is the level of dissemination work satisfactory?

Yes:      No:     

Has the applicant previously been enrolled as a PhD student?

Yes:      No:     

Has the thesis previously been accepted for any type of assessment?

Yes:      No:     

If yes, where (university or other)?

     

The applicant understands and accepts that the application fee has to be paid before the PhD thesis is sent to the assessment committee in case this application is approved.



Yes:      No:     



The applicant expects to hand in the PhD thesis on:


DD/MM/YYYY

Payment information

Contact person:

     

Email:

     

Phone number:

     

Invoice address:

     

Email:

     

EAN no.

     

CVR

     

Signature

I hereby confirm that, neither the PhD thesis nor parts of the PhD thesis have been used earlier to form the basis for allocation of other academic degrees.



Applicant's signature:

In order for the Graduate School to evaluate the application the following must be enclosed:

Appendix 1: Basis for the application

Appendix 2: Statement from principal supervisor

Appendix 3: Danish resume

Appendix 4: English resume

Appendix 5: Co-authorship declarations

Appendix 6: Dissemination component

Appendix 7: Copy of your Master’s degree certificate and CV

Appendix 8: Description of the research project

Appendix 9: Description of Methodology, technical skills and basic literature

Appendix 10: Time Schedule

Appendix 11: Course plan and course certificates (approx. 30 ECTS)

Course title

Course provider

Course certificate

Must be attached

ECTS-
credits


     

     

Attached 

     

     

     

Attached 

     

     

     

Attached 

     

     

     

Attached 

     

     

     

Attached 

     

     

     

Attached 

     

     

     

Attached 

     

     

     

Attached 

     

Total ECTS

     

Appendix 12: Please provide your recommendations for the assessment committee

Have the assessors consented to engage in the assessment work?


Yes (x)       

The university representative must obtain the agreement of the suggested committee members before submitting this form.



Chairperson

(must be permanently employed at the Faculty of Health and Medical Sciences, University of Copenhagen)


Full name

     

Academic title (in English)

     

Job title (in English)

     

Department or center at the Faculty

     

E-mail

     

Phone number

     



Assessor representing Danish research
(must not be employed at the University of Copenhagen)



Full name

     

Academic title (in English)

     

Academic degree (in English)

     

Job title (in English)

     

Workplace (in English)

     

Address

     

E-mail

     

Phone number

     



Assessor from abroad, representing international research


Full name

     

Academic title (in English)

     

Academic degree (in English)

     

Job title (in English)

     

Workplace (in English)

     

Address

     

E-mail

     

Phone number

     






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