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(Family name, First name(s)) (Place, Date)

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(Address)

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(Email) (Matriculation number) (Phone)

An die
Geschäftsstelle der Graduiertenschule
Forst- und Agrarwissenschaften (GFA)
Büsgenweg 5
37077 Göttingen

Application for examination on the basis of the terms of the GFA doctoral
degree regulations:
Major field(s) of BSc. studies: .............................................................................................................

Major field(s) of MSc. studies: ............................................................................................................

Preliminary title of proposed dissertation:

I affirm that I have been continuously enrolled in the Ph.D. programme:

...........................................................................................................................................................
Date of initial enrollment in the above Ph.D. programme: ................................................................
Supervisor of doctoral dissertation: Prof. Dr. .....................................................................................

In accordance with § 6 (2) and § 7 (2 f) of the doctoral degree regulations of the GFA, I hereby
declare that
 no agent was appointed for locating doctoral opportunities subject to a fee,
 in the context of the doctoral process and its preparation, neither fees have been paid,
charged credits obtained nor services that are contrary to the meaning and purpose of an
examination procedure have been claimed free-of-charge,
 I remain eligible to sit the examination,
 there are no reasons that may give due cause for withdrawal of the doctoral degree,
 I have not successfully/unsuccessfully completed a doctoral degree programme in the same
discipline or have not completed it yet. If yes, please give details on when, where and which
topic you worked on.
Target doctoral degree according to § 2 of the doctoral degree regulations1: ....................................
Please find attached to this application form the nominations for my thesis committee2:

yes □

no □

If it is not yet possible to nominate members for the thesis committee, I will submit the nominations
as soon as possible to the GFA office (within the next 2 months at the latest).
I hereby agree that the GFA may use my email address to send me information and stay in contact
with alumni members until I withdraw my consent:

yes □

no □

Applicant’s signature: ..................................................................................................................................

First supervisor’s signature: ..............................................................................................................

1
To assess whether you are qualified to pursue the degrees of Dr. rer. nat or Dr. rer. pol (GFA Doctoral
Degree Regulations §6 (5)), please attach copies of the transcripts of your previous degrees.
2
If you are nominating a thesis committee, please attach the form “Nomination of thesis committee” which
can be found at www.uni-goettingen.de/en/532009.html.