RESOLUCIÓN DEL RECTOR DE LA UNIVERSIDAD CARLOS III …



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APPLICATION TO OUTSTANDING THESIS AWARDS AT UNIVERSIDAD CARLOS III DE MADRID

2019-2020 Edition

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|PERSONAL DATA |

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|Candidate: |ID or Passport: |

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|Telephone number: |E-mail: |

|ACADEMIC DATA |

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|UC3M Ph.D. PROGRAM: |

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|Date of thesis defense: |

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|Thesis Title: |

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|Thesis advisor(s): |

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Only theses with a cum laude distinction are eligible for the Outstanding Thesis Awards.

|SCIENTIFIC OUTCOMES OF THE DOCTORAL THESIS |

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|Publications on national scientific journals |

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|Title of publication |

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|Author/s |

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|Journal |

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|Year of publication |

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|Volume and pages |

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|Impact Factor |

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|JCR Category |

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|Journal Ranking position |

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|URL |

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|(Repeat as many times as necessary) |

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|Publications on international scientific journals |

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|Title of publication |

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|Author/s |

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|Journal |

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|Year of publication |

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|Volume and pages |

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|Country |

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|Impact Factor |

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|JCR Category |

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|Journal Ranking position |

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|URL |

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|(Repeat as many times as necessary) |

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|Presentations and scientific communications |

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|Title of presentation |

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|Author/s |

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|Congress / Host Company |

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|Dates |

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|Impact Factor |

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|URL |

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|Monographs |

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|Title |

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|Publisher |

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|Impact Factor |

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|Collective works |

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|Title |

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|Publisher |

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|Patents and/or sw registration |

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|Name of patent |

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|Application No. / Registration No. |

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|Date |

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|Country/ies |

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|Status |

|□ Applied |

|□ Granted |

|□ In use |

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|(Repeat as many times as necessary) |

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|Please attach any supporting documents to your application if necessary |

Candidate provides Curriculum Vitae: □ YES □ NO

I REQUEST

To participate in the 2019-2020 Outstanding Thesis Awards edition at Universidad Carlos III de Madrid in the Ph.D. Program in:

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Date and signature

THIS APPLICATION IS ADDRESSED TO: Doctoral School at Universidad Carlos III de Madrid

This application must be submitted by e-mail to escueladoctorado@uc3m.es in pdf format, according to the terms established at

Applicants will receive confirmation and a reference number.

Personal data collected in this document will be stored and processed in Universidad Carlos III de Madrid POSTGRADO files, which serve academic administration purposes in regard to official postgradute students (Master’s and Ph.D.). This file is registered in the Personal Data file records of Data Protection Agency in Comunidad de Madrid. Personal data may be transferred in accordance with the File’s legal stipulations as well as others provided by law. The University’s Management Office is the government authority in charge, where the interested parties may exercise their access, rectification, cancellation, and opposition rights at C/ Madrid, nº 126, Postal Code 28903, Getafe (Madrid); all information provided above is reported in compliance with Article 5 of Spain’s Organic Law 15/1999, December 13, regarding Personal Data Protection.

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