MASTER IN ADVANCED MOLECULAR SCIENCES (LM 54)

APPLICATION FORM FOR THESIS WORK
Name and Surname: ______________________________________________________
Registration Number_______________________________________________________
Place and date of birth: ____________________________________________________
Address: ________________________________________________________________
Telephone number_________________________________________________________
Email address : __________________________________________________________
ASKS
To the Board of the Master to carry out the thesis work at (specify the Organization/Department) ______________________________________________________________________________
Thesis Topic: ____________________________________________________________________
_______________________________________________________________________________
Thesis Title: ____________________________________________________________________
________________________________________________________________________
The experimental work will be supervised by Prof./Dott.: __________________________
as Tutor, and by Prof./Dott.:
a)_________________________________ b)______________________________
as co-Tutors
Student’s Signature____________________Tutor’s Signature __________________________
Date ________________

On the date ............................... the Board of the Master in Advanced Molecular Sciences has approved  the request and has appointed Prof./Dott. ......................................................Tutor of the thesis work to be carried out by the student................................................................... 
THE APPLICANT, 30 days before the scheduled date for the discussion, SHOULD ASK ABOUT THE NAME OF THE ASSIGNED EXAMINER  

*The title of the thesis can be provisional and therefore changed, while the eventual variation of the topic of the thesis requires the official correction and a new approval of the application.