Doctoral College Molecular Fundamentals of Inflammation Application for the 4th PhD year - The application requires an external research stay for at least 6 month of which 3 month have to be consumed before the end of the regular PhD contract. - The application must be submitted 3 months before expiration of the regular PhD contract. - If the research stay partly extends into the 4th year of employment, the application must be submitted 3 months before leave. Information about the proposed contract prolongation Expiry date of the regular PhD contract PhD student Name Department/Organizational Unit Phone E-mail Date Signature Supervisor Name Department/Organizational Unit Phone E-mail Date Signature Medizinische Universität Graz, Auenbruggerplatz 2, A-8036 Graz. www.medunigraz.at Rechtsform: Juristische Person öffentlichen Rechts gem. Universitätsgesetz 2002. Information: Mitteilungsblatt der Universität und www.medunigraz.at. DVR-Nr. 210 9494. UID: ATU 575 111 79. Bankverbindung: Bank Austria Creditanstalt BLZ 12000 Konto-Nr. 500 948 400 04, Raiffeisen Landesbank Steiermark BLZ 38000 Konto-Nr. 49510. Doctoral College Molecular Fundamentals of Inflammation *Short description of research project (~300 words) * Information about the external research stay Host Name Department/Organizational Unit University/Institution Address Phone E-mail Research stay from – to *Topic Medizinische Universität Graz, Auenbruggerplatz 2, A-8036 Graz. www.medunigraz.at Rechtsform: Juristische Person öffentlichen Rechts gem. Universitätsgesetz 2002. Information: Mitteilungsblatt der Universität und www.medunigraz.at. DVR-Nr. 210 9494. UID: ATU 575 111 79. Bankverbindung: Bank Austria Creditanstalt BLZ 12000 Konto-Nr. 500 948 400 04, Raiffeisen Landesbank Steiermark BLZ 38000 Konto-Nr. 49510.