Authorization request

The undersigned ........................................................ enrolled in the ........ year of the PhD Program in Biomedical Sciences, asks the authorization to participate in the following activity: (e.g. course, congress, research activity):

............................................................................................................................................................. 

…………………………………………………………………………………………………………………..

which will take place in .......................................................................................................................

from .................................. to ..................................

Cost estimates are attached

Date: Padova, ............................

Signed:

PhD Student						.……………………………………

Supervisor	          .……………………………………

Prof. Fabio Di Lisa 
(Coordinator of the Program)				.……………………………………

Prof. Marco Sandri
(Director, Department of Biomedical Sciences)	.……………………………………