Version June 2012
Application for admission to a PhD programme at the Norwegian University of Life Sciences
Application form – PhD programme, UMB Page 1 of
Application and enclosures are to be sent to the admitting department.
Department of:
Norwegian University of Life Sciences
P.O. Box 5003, N-1432 Norway Please fill in the form electronically.
Personal information and academic background (see the Instructions)
Family name
(Last name) Given name
(First name)
Nationality Sex Norwegian ID number
(if available):
Current
home address Work address E-mail address(es)
Telephone Home: Work: Mobile:
Emergency contact (Next of kin)
Name: Relationship to candidate:
Address:
Previous education (basis for
admission)
Degree Field Name of institution Year
completed
Official length of
study
Proficiency in English Please see the instructions
English as native language
IELTS score:
TOEFL score:
Other way of fulfilling the English language requirement:
Phd programme
Admitting
department: Area of specialisation:
Starting date : Completion date:
Main financing source for the PhD study at UMB
Norwegian employment Foreign employment
Affiliation, if different from work address specified above:
Scholarship, please specify:
Other, please specify:
Main supervisor: Affiliation:
Co-supervisor: Affiliation:
Co-supervisor: Affiliation:
Co-supervisor: Affiliation:
Co-supervisor: Affiliation:
Proposed supervisors have been asked and have agreed to be jointly responsible for the academic follow-up Yes No Do you wish to use another language in the thesis than English? (If Yes, please attach an application) Yes No It might be necessary to enter into a separate intellectual property rights agreement Yes No The PhD study will be conducted in cooperation with another university (a separate agreement must be entered) Yes No
Application form – PhD programme, UMB Page 2 of
Enclosures – check list
The application will not be considered unless all sections have been filled in, and certified
copies of all required documents have been enclosed. Req. Enclosed
Encl.Yes No No.
1. Certified copies of previous education / educational credentials (the basis for admission) X 2. Documentation of English language proficiency (might be documented by certificates from previous education) X 3. A brief description of the project (1/2-1 A4 sheet; background, research questions and methods) X
4. An overview of funding sources X
5. An explanation, if relevant, of required facilities and infrastructure (special needs for equipment for the research work)
6. A request, if relevant, to use a language other than English or Norwegian in the thesis 7. For non-Norwegian citizens: High quality copies of relevant pages of the applicant’s passport
(showing picture, full name, date of birth and nationality) (X)
8. Special notes attatchments, if any. Please mark enclosures by number.
Signatures
Date Applicant/PhD candidate Date Main supervisor
Information on rights and obligations as a PhD candidate at UMB
PhD Regulations Agreement for completion of the PhD programme at UMB PhD Handbook
Any comments or supplemantary information to the application
Application form – PhD programme, UMB Page 3 of 3
