Below you find a list of the required data to make the following documents:



cover
front page
invitation

announcement
Cover and first page must be requested at least 10 working days before
submission of the proof version!
(will be sent by the student secretariat to other universities and
institutes)
! Please keep in mind ! only forms which are fully filled out, will be taken into
consideration. It is not possible to make the cover, if this form is not completely filled
out.
When details required in this form are unknown, you should first of all consult the ‘My Doctoral File’
(https://uhintra1.uhasselt.be/mydoctoralfile). In the second place, if information is still lacking, you
could contact the administrative director (or contact person) of your faculty or your promoter.
Faculty of Architecture and Art: Els Hannes
Faculty of Business Economics: Laurien Stuvers (research group EEC: Sarah Elshout)
Faculty of Medicine and Life Sciences: Veronique Pousset
Faculty of Engineering Technology: Machteld Schots
Faculty of Law: Ingrid Vrancken / An Vrancken
Faculty of Sciences: Isabel Thys
School for Transportation Sciences: Kristel Hertogs
1. Choose the language of the
cover. (This is the same language
as your thesis.)
2. Personal information:
Name:
First name:
M / F:
3. Information PhD study:
Title dissertation:
Promoter (+ correct titles, e.g. Dr, Ir, Prof.,…):
Co-promoter(s) (+ correct titles, e.g. Dr, Ir, Prof.,…):
4. Double degree or Joint
degree?
[The UHasselt logo (and if applicable the
UMaastricht logo) together with the logo
of the partner university will be shown on
double and joint PhDs]
☐ No
☐ Yes
If YES:
Name partner university:
Promoter (+ correct titles, e.g. Dr, Ir, Prof.,…) partner
university:
Co-promoter(s) (+ correct titles, e.g. Dr, Ir, Prof.,…) partner
university:
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5. Indicate your discipline (max. 1):
[Only the UHasselt logo will be shown on
the PhD cover of PhDs in the following
disciplines]
Discipline:
Faculty of Architecture and Art
☐ Architecture
☐ Audiovisual and Visual Art
Faculty of Business Economics
☐ Applied Economic Science
Faculty of Medicine and Life Sciences
☐ Medical Science
☐ Rehabilitation Sciences and Physiotherapy
Faculty of Engineering Technology
☐ Engineering Technology
Faculty of Sciences
☐ Science
☐ Science: Biology
☐ Science: Chemistry
☐ Science: Mathematics
☐ Science: Physics
School for Transportation Sciences
☐ Transportation Sciences
[The UHasselt and UMaastricht logo =
(tUL)* will be shown on the PhD cover of
the PhDs in the following disciplines]
Discipline:
Faculty of Medicine and Life Sciences
☐ Biomedical Science
Faculty of Law
☐ Law
Faculty of Sciences
☐ Science
☐ Science: Information Technology
☐ Science: Mathematics
☐ Science: Statistics
*(- De transnationale Universiteit Limburg is een uniek samenwerkingsverband van twee universiteiten uit twee landen:
Universiteit Hasselt en Maastricht University.
- De opleidingen informatica/kennistechnologie, statistiek en biomedische wetenschappen/moleculaire levenswetenschappen
zijn reeds ondergebracht in dit samenwerkingsverband. De voltijdse opleiding in de rechten is een gezamenlijk initiatief van
Universiteit Hasselt, Maastricht University en KU Leuven. Ook in andere wetenschapsdomeinen wordt gezocht naar
samenwerking met andere universiteiten.)1
6. Should one of the following
logos be added?
☐ No
☐ Yes: UHasselt research institute:
☐ BIOMED
☐ CMK
☐ CENSTAT
☐ EDM
☐ IMO
☐ IMOB
☐ KIZOK
1
This text is shown on each document.
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7. Logo of other institution(s)
involved?
☐ No
☐ Yes: Other institution(s) involved:
(Please annex the logo to this form.)
☐ funding company: viz.
☐ strategic research center (VITO, IMEC, VIB,
iMinds): viz.
☐ hospital: viz.
☐ public fund: viz.
☐ other: viz.
NO OTHER LOGO WILL BE INCORPORATED IN THE DISSERTATION (unless in the case of double
degree/joint degree doctorates)
The front page is an exact copy of the cover. Institutes and sponsors will be mentioned in the
foreword and/or the concluding word. If desired, the logo of the UHasselt research institution will
be shown on the front page at the bottom on the left, or at the back of the cover. On the second
page (this is the page after the front page) logos of other external institutes can be shown, such as
the logo of a funding company, a strategic research center, a hospital or a public fund.
8. Additional information for:
Dissertation
Depot number (already applied for via
patrick.carmans@uhasselt.be)
Number of pages (+/-): (this information is needed to
determine the thickness of the cover)
Public defence - Day and date:*
Public defence - Room and time:*
*Fill out the planned date (only if the date of the
public defence is not known yet):
pages
Room:
;
o’clock
Planned date:
Invitation
Followed by a reception:
-
-
If yes, should attendants notify
their presence at the reception:
If yes, via tel, mobile, and/or e-mail.
☐ Yes
☐ No
☐ Yes
☐ No
and/or
Tel:
Mobile:
and/or
E-mail:
Total amount of printed copies of the invitation:
-
Invitation:
-
Language:
Announcement
Total amount of printed copies of the
announcement:
Total:
☐ Digitally
☐ Printed on paper
☐ Both
☐ Dutch
☐ English
☐ Bilingual
Total:
Click here for more info.
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9. Invoice details (please contact your promoter):
Kredietcel (financial cell of your
faculty):
Kostenplaats (correct financial UHasselt account
from which printing cost will be paid:
More info:
Please send this application form to phd@uhasselt.be,
with subject “Application form COVER dissertation”.
Kind regards,
Layout-dienst
layout@uhasselt.be
room: R4.03 (Rectoraat Hasselt)
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