Author: Eugenio Pieri
Company: Università deli Studi di Urbino Carlo Bo

REQUEST TO ATTEND A RESEARCH PERIOD ABROAD  
The undersigned ............................................ .................................................. .................................................. . enrolled, for the academic year ...................... / .................... . to the year of the course……………………………... of the Ph.D. course .................................................. (cycle ................) 
ASKS 
□ to be able to carry out a research period abroad at the following University / Research Center / Library /  Company:…………………………………………Country…………………………………… under the supervision of¹ ……………………………………… for the period from ………………… .. ……… to ……………………. 
DECLARES 
□ to be a holder of a scholarship and therefore have the right to raise 50% of the scholarship as per the  Regulations for Ph.D. courses. 
□ not to be the holder of a scholarship. 
UNDERTAKES TO SEND TO THE Ph.D. OFFICE WITHIN 10 DAYS THE FOLLOWING DOCUMENTATION:
- The outbound and return travel tickets;
 - The attestation of the period actually carried out, issued by the foreign institution (signed and stamped in original);
- The return from abroad form signed by the Coordinator.
It also undertakes to promptly communicate any changes to the research period abroad. 
AWARE 
that in the absence of the required certification, the competent Office will not be able to pay the amount relating to the 50% increase of the scholarship as foreseen. 

AUTHORIZATION (FOR PERIODS LESS THAN OR EQUAL TO 6 MONTHS) 
The PhD student is authorized to complete the aforementioned period of attendance abroad 
……………………………………….                                       ….………………………………………… 
date (dd/mm/yy)                                                                             (THE COORDINATOR)

AUTHORIZATION (FOR PERIODS LONGER THAN 6 MONTHS) 
In the session of …………………….. the Academic Board authorized the PhD student to complete the  aforementioned period of attendance abroad. 
…………………………………………                                        ……………………….………………….  
date (dd/mm/yy)                                                                                  (THE COORDINATOR)

Date ……………………                          Signature (THE Ph.D. STUDENT)………….……………………………. 
(1) indicate the name of the tutor abroad if provided that he will be required to sign the certificates of attendance. This form is to be delivered to the PhD Office at least 1 month before departure (dottorato@uniurb.it).