To Research and Third Mission Area – Training for Research Unit – University of Pavia

Subject: Hosting a PhD student from the University of Pavia – 40th cycle

I hereby declare that _____________________________ (FULL NAME OF THE SOCIETY/INSTITUTION) has the intention of hosting a PhD student enrolled in the PhD Program in ____________________________ of the University of Pavia, for a period of minimum 6 months, to undertake research in __________________________ (RESEARCH TOPIC), supervisor prof. ___________________________.

Place			, date 			

The Legal Representative
(signature)

__________________________________

ALL. 1 - DATA

Name of the Society/Institution:__________________________________

Address
				
City/Town		, Postcode 		
Country: __________________
Legal Representative 			
Born in (place)			, on (date) 			
as