UNIVERSITÀ DEGLI STUDI DI TORINO
Direzione Ricerca e Relazioni Internazionali
SEZIONE FORMAZIONE ALLA RICERCA
Via Bogino, 9 – 10123 Torino
Tel +39/(0)11/670.4390 Fax 011-670.4380
[email protected]
APPLICATION FORM FOR PHD EN COTUTELLE
Please write in BLOCK CAPITALS. Complete all sections and mark with a “/” all sections that are not
applicable.
I am currently enrolled or former Università degli Studi di Torino student
Student ID
Section A. PERSONAL DETAILS
PERSONAL DETAILS (as they appear on your passport/ID)
FAMILY NAME
FIRST NAME
DATE OF BIRTH
PLACE OF BIRTH
(DD/MM/YYYY)
CITY
COUNTRY
CITIZENSHIP
ITALIAN TAX CODE 1
1. Italian tax code: the tax code (codice fiscale) is a 16 alphanumeric digit identity code used in all interaction with government agencies and public
administration in Italy. It is issued by the Agenzia delle Entrate (Revenue Agency) of the Ministry of Economy and Finance. Application must be
made at the local office of the Agenzie delle Entrate upon presentation of a valid passport. A Codice Fiscale may also be issued by an Italian
Embassy in an applicant's home country.
This is a compulsory document to register at the University.
CONTACT INFORMATION
PERMANENT ADDRESS: please indicate your residential address (as reported in your
passport/id)
PERMANENT ADDRESS
TEMPORARY ADDRESS (ONLY if different)
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CITY:
CITY:
POSTAL/ZIP CODE:
POSTAL/ZIP CODE:
COUNTRY:
COUNTRY:
TELEPHONE (please indicate a primary contact number)
EMAIL ADDRESS (please indicate a primary address)
2. Residence: a residential address (also known as permanent address or home address) is the actual physical street
address where you reside permanently. For international applicants, it often coincides with an address in their home
country.
Section B. ACCADEMIC QUALIFICATIONS
NAME OF
QUALIFICATION
INSTITUTION
OBTAINED
AND
COUNTRY
NAME OF
DEGREE
(Subject)
PROGRAM
LENGTH3
FINAL
RESULT
DATE
COMPLETED
(dd/mm/yyyy)
3. Usual duration on a full-time basis.
RELEVANT PRE-DOCTORAL EXPERIENCE
Please list any relevant research and/or professional experience gained before enrolling into the PhD Programme
Section C. FUNDING ARRANGEMENTS
FUNDING SOURCE
(Scholarship, Grants, Bursaries, etc…)
FUNDING BODY (University, company, bank,
etc…)
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Section D. PHD EN COTUTELLE DETAILS
HOME INSTITUTION
PARTNER UNIVERSITY
NAME
PHD COURSE
GRADUATE SCHOOL
DATE OF ENROLMENT (for
Unito, please indicate the cycle4 as
well)
THESIS SUPERVISOR
TUITION FEES
DEPATMENT/LABORATORY
OF RESEARCH (please indicate the
complete address)
VIVA VOCE EXAMINATION
(please indicate the expected date and
place of defence)
4. The cycle indicates the starting year of a PhD programme at Unito (e.g. cycle 28  year 2013). The cycle is stated in the PhD
Board Report. If you do not know it, please ask your supervisor.
Torino,
Signature
For office use only




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PhD Board Report
Agreement to be signed by the Rector (sent on _________________)
Agreement to be signed by partner institution (sent on __________________)
Agreement process concluded.
Personal documents.
NOTES:______________________________________________________________________________________________
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