Author: cesaro

UNIVERSITY OF PADOVA
PhD Course in Sciences, Technologies and Measurements for Space

Request of authorization for spending periods outside Padova University

To the STMS PhD Course Board

The undersigned doctoral student ……………………........................ of the Sciences, Technologies and Measurements for Space - STMS PhD Course, 
-	Cycle no. ………... (year …….) 
-	Curriculum:         ☐MMIS/MMES     ☐ STASA     
-	Supervisor: prof. ……………………………………….…………………………………………….
-	Type of grant:  ……………………………………………………………………………………….

requests the authorization for spending a period outside Padova University in the following period:
from (date) ……/……/………… to (date) ……/……/…………. (total: ………….. days), to be carried out at
Institution / Company: ……………………………………………………… Country: …………………………..
Full Address: ……………………………………………………………………………………………………………..  

I hereby declare that 
☐ I already spent a period of ……………………….. days outside Padova University within the PhD;
☐ I have not spent any periods outside Padova University within the PhD so far

and the total period outside Padova University (including former periods and current request)
☐ does NOT exceed six months (180 days)
☐ exceeds six months (180 days)

Short description of the activity to be carried out:
………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………..……………

Doctoral student (signature) ………………………………...........                                date ………/………/…………

Approved by the Supervisor (signature) ……………………………………

The signed document must be scanned and sent as a PDF file to:

•	dottorato.cisas@unipd.it
•	to the Supervisor in cc

[The invitation (letter or e-mail) by the hosting institution is attached.]