A
Ilma. Sra.Profa. Dra. Fabiani Gai FrantzCoordenadora do Programa de Pós-Gradua??o Biociências e BiotecnologiaFaculdade de Ciências Farmacêuticas de Ribeir?o Preto - USP Encaminhamos a solicita??o de credenciamento do Prof.(a) Dr(a)__________________________________, da(o) Faculdade __________________________ como coorientador do Projeto de Pesquisa de (Mestrado/Doutorado)______________ intitulado _________________________ do(a) pós-graduando(a) ______________________ Nro. USP __________________, matriculado(a) no Programa de Pós-Gradua??o em Biociências e Biotecnologia, área de concentra??o: _______________________________________________________.( ) Mestrado ou Doutorado (no máximo até oitenta por centro do prazo regulamentar)( ) Doutorado com Estágio no Exterior (comprovar estágio)Nestes TermosP. Deferimento.Ribeir?o Preto, _____ de _______________ de ______._____________________________________________________Orientador(a)De acordo:_____________________________________Assinatura do(a) Aluno(a)_____________________________________________________ Coordenador do ProgramaNo caso, de ser coorientador do exterior, o requerimento deverá vir acompanhado de cadastro docente. (Modelo abaixo) e cópia do Diploma de Doutorado (frente e verso)Post-Graduation Office - FCFRP-USPVisiting Professor FormPlease fill out this section entirely and return to this office Name: Mother?s Name: Date of Birth: ____/_____/_____ (month) / (day) / (year) City of Birth: State of Birth: Country of Birth: Passport Number: Country passport was issued:Date passport was issued:_______/______/______ (month) / (day) / (year) Home Address:City: State: Zip code: Institution: Institution Address:Zip code:E-mail:Telephone:Date doctoral degree was obtained: ____/_____/_____ ; at the University: (month) / (day)/ (year) ................
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