Form 1: Request for Exemption and Admission to Doctoral Studies

id track: 27597

Details of prospective doctoral candidate:

Name applicant sqxqs

First names sss

Male / female female

Date of birth (day/month/year) 31-01-1993

Place & country of birth Texas Netherlands

Nationality Dutch

Home address sxxqs

Postal code and town/city 23343 xqsx

Work address qxqxq

Postal code and town/city

Telephone: home 23523523

Telephone: work

E-mail: home qsxqs@gmail.com

E-mail: work

Signature Applicant

Date

Applicant possesses the following diploma:

Dutch academic Academic Master diploma Yes

Name of Institute ssqc

Country Netherlands

Faculty qscqc

Education Programme qscqcqsc

Date of Diploma 20-07-2010

Applicant requests:

Exemption and admission to the thesis defence Admission to the thesis defence

The procedure will happen at the Faculty Erasmus School of Law

Department/Institute/Division/Unit International Private Law and Private Comparative Law

id track 27597 - form 1 - created in hora est! on (dd-mm) 09-03-2017 - page 1 of 2

Proposed supervisor(s):

1. Name 1241 qqsxqsx

Faculty (if not affiliated to EUR, University and Country also) azxqscqs

Department/Institute/Division/Unit

Work address

E-mail: work qsxqx@gmail.Com

Signature 1st supervisor

Date

Approved by Dean:

Name prof.mr.dr. W.S.R. Stoter

Faculty Erasmus School of Law

Signature

Date

Remarks

Do not forget to add to this request a copy of the letter of admission or a validated
copy of the Dutch diplome and a copy of your passport and send it toThe University
Ceremonies office (Room A1-01 (W), Postbus 1738, 3000 DR Rotterdam)

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