INTERNATIONAL PH.D. MENTION, RD 99/2011
PERSONAL AND ACADEMIC DATA FORM
Family name and given name (s): ...................................................................................................................................................
…………………………………………………………………………………………………………………
Previous degree: ……………………………………... Address:……………………………………………………
Postal code ……………… City: ……………………………… Telephone: ……………………………… ………
E-mail address: ………………….……………………..……
Who defended his/her thesis on the...................(date)
REQUESTS:
To be awarded with the “INTERNATIONAL PH.D. MENTION”, in accordance with the normativa reguladora del Doctorat a
l’empara de l’RD 99/2001 (Approved by the Government Council during the 16th of March 2012 session and modified by the
Government council during the 9th of may and the 19th of july 2012, 29 of may and 3rd of October).
Authorized by the Academic commission of the Ph.D. program on the (date)1.....................
The applicant, for the reason explained above, attaches the following documentation to the form:
 Positive reports, previous to the thesis defence, by:
Dr. ........................................................................................ from........................................................................................................
Dr. ........................................................................................ from........................................................................................................
(professors coming from foreign higher education institutions different from the country were the thesis is defended)
 List of committee members, including Dr. ..............................................................................................................
from the higher education institution (name of the institution) ........................................................................................................,
based in (State).....................................................................
 Report of the President of the tribunal
Dr. ....................................................................................................................................................................................
Certifying that part of the thesis has been written and presented in.......................................................(language different from
Catalunya official languages)
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This authorization should be obtained before the period when the stay take place
 Certificate of stay (minimum of three months) of the Ph.D. student in (institution, faculty, country, address):
........................................................................................................................................................................................................
.........................................................................................................................................................................................................
(Certificate sent by the director of the centre/institute of research or by the dean of the faculty of the visited country
where it is stated that the Ph.D student spent a minimum of three months in the institution. In accordance with
regulations, the minimum stay of three months must be carried out in a single center)
Barcelona,
The President of the Ph.D. commission of the faculty of economics
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