From: Subject: =?iso-8859-1?Q?inscripci=F3_al_premi?= Date: Fri, 2 May 2008 20:50:10 +0200 MIME-Version: 1.0 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.ub.es/cdub/inscrip.htm X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3198 inscripci=F3 al premi
INSCRIPCI=D3 AL
XII=E8 PREMI CLAUSTRE DE DOCTORS DE LA = UNIVERSITAT DE=20 BARCELONA A TESIS DOCTORALS (2008)




COGNOMS

NOM          =             &= nbsp;           &n= bsp;           &nb= sp;           &nbs= p;            = ;            =             &= nbsp;           &n= bsp;           &nb= sp;           &nbs= p;            = ;           =20 DNI/NIF

ADRE=C7A

C.=20 POSTAL           &= nbsp;           &n= bsp;           &nb= sp;      =20 POBLACI=D3

TEL=C8FON/FAX        &n= bsp;           &nb= sp;           &nbs= p;  =20 CORREU=20 ELECTR=D2NIC          &= nbsp;           &n= bsp;           &nb= sp;           &nbs= p;   =20 DATA I LLOC NAIXEMENT

LLICENCIAT=20 EN            = ;            =          =20 FACULTAT           = ;            =             &= nbsp;           &n= bsp;           &nb= sp;       =20 UNIVERSITAT

DOCTORAT EN=20 (*)           &nbs= p;            = ;            =             &= nbsp;           &n= bsp;        =20 DEPARTAMENT

FACULTAT         &= nbsp;           &n= bsp;           &nb= sp;           &nbs= p;            = ;            =          =20 UNIVERSITAT

T=CDTOL TESI

DIRECTOR         &= nbsp;           &n= bsp;           &nb= sp;           &nbs= p;            = ;            =          =20 QUALIFICACI=D3 (*)

DATA DE LECTURA DE LA TESI=20 (*)           &nbs= p;            = ;            =             &= nbsp;           &n= bsp;           &nb= sp;           &nbs= p;           =20 PREMI EXTRAORDINARI/ANY (*)

CONSIDEREU QUE EL VOSTRE TREBALL =C9S=20 INTERDISCIPLINARI?         &= nbsp;           &n= bsp;           &nb= sp;           &nbs= p;           =20 EN CAS AFIRMATIU, INDIQUEU-NE ELS =C0MBITS:


El sotasignat sol=B7licita ser adm=E8s com a = aspirant al XII=E8=20 Premi Claustre de Doctors de la Universitat de Barcelona a Tesis = Doctorals=20 (2008), convocat per la Universitat de Barcelona i accepta les bases de = la=20 convocat=F2ria que han estat publicades.=20

Barcelona,         = ;            =        =20 de            = ;            =             &= nbsp;        =20 de 2008=20


 
Signatura
 =20

(*) =C9s necessari presentar fotoc=F2pia de la = documentaci=F3 que=20 avali aquesta informaci=F3.
 

Secretaria del CDUB
Av. Vallvidrera, 25 - 08017 - = Barcelona=20
Tel. 93 2525215 =B7 CDUB@ub.edu
http://www.ub.es/cdub =