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

Evaluation of the PhD student Name Surname
for the admission to the thesis evaluation procedure

(a)	Synthesis of PhD activities

(NB to be filled in by the PhD student)

Thesis Title: ……………………………
List of attended educational Course activities and of passed exams:
………………………………………………….
List of attended Conferences, Schools, International meeting:
………………………………………………….
Periods spent outside Italy:
………………………………………………….
List of publications:
………………………………………………….
Research outputs (i.e. new equipment, processes, know-how, methodologies, spin-offs, …):
………………………………………………….
Other scientific/academic/industrial commitments during the PhD period:
………………………………………………….

Evaluation of the PhD student Name Surname
for the admission to the thesis evaluation procedure

(b)	Supervisor evaluation and PhD Course Board Approval

(NB to be filled in by the Supervisor)

Evaluation of the Thesis Work:
…………………………………………………. 
Evaluation of the PhD student attitude about possible future activities in an academic or non-academic environment
………………………………………………….
Other comments:
………………………………………………….

The Supervisor: Prof. Name Surname

The Course Coordinator: Prof. Name Surname

Approved by the PhD Course Board on: .... (type the date of the Course Board admission meeting)