INSTITUTE OF PHILOSOPHY KARDINAAL MERCIERPLEIN 2 3000 LEUVEN, BELGI

Application to the Doctoral Programme

1. Personal information Family name : Nationality : Country and place of birth : Present address : Date of birth : Permanent address : Given name :

Phone : e-mail : 2. Academic data University or post-secondary education Name and address of Degree Degree the institution (arts, science, etc.)
(from to)

Duration Duration
(from ... to ...)

Result Result

Studies at the KU Leuven

(specify each academic year)

Degree

(e.g. 1st MA in Philos.)

Academic Academic year year

Result Result

M.A. thesis Supervisor : Title : Result :

(specify the names of the three readers and their marks)

MPhil Supervisor : Title : Result :

(specify the names of the three readers and their marks)

3. Description of the doctoral project Title :

Proposed supervisor : Proposed co-supervisor (if applicable):

Brief description of the proposed dissertation research :

(maximum 240 characters)

4. Detailed presentation of the proposal

(Use only this form - min.1,5 page - max. 2 pages - line spacing: 1)

5. Bibliography (required)
(max. 1 page)

The applicant declares that she / he has transmitted a copy of this application to her / his supervisor together with an evaluation sheet to be sent by him directly to the Doctoral Commission. Date of application :

Signature of the applicant :

5. Decision of the doctoral commission Meeting of (date): ..

Approved as a doctoral student at the Institute of Philosophy for a period of four years, i.e. from (date) .. to (date) . . Application disapproved.

Decision about the application postponed.

the Chair of the Doctoral Commission :

Date : Signature :