APPLICATION FOR A DEGREE DIPLOMA (PhD and PhL)Faculty of Science, P.O. Box 64, 00014 University of HelsinkiPERSONAL DATA

Finnish ID-code Student number

Last name (including previous) First names

Street address Postal code and city

Phone work/home E-mail

DEGREE DATADegree to be applied for

PhD Licentiate

I have been registered as attending student (prerequisite)

Attending Non-attending

Language of the matriculation

Finnish Swedish Other, which? _______________________________________________________

Previous university degree

PhL MSc Other, which? _______________________________________________________

Major subject of the study module (60 cr), and grade (1-5)

Title of the PhD dissertation / PhL thesis

______ . ______ . __________

Dissertation/thesis has been / will be approved by the Faculty Coucil on (date) Grade of the dissertation/thesis

Language of the public defence (PhD)

Finnish Swedish English _______________________________________________________Other, which?

Delivering the degree paper

Please, send to my address (default)

I'll collect my diploma from the Kumpula Student services. In case of a diploma has not been collected in a month of the graduation day, it will be mailed to the address given on this application form.

SIGNATUREDate and signature

______ . ______ . _________