Online Registration Form for Graduate Campus | SSPH+ PhD Program in Public Health

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Personal Information

Last Name *

First Name *

Birthday *

Gender

Nationality *

Private Address

Street *

ZIP *

City *

Private E-Mail Address *

Work Address

Organization/Institute *

Other, please specify *

Street *

ZIP *

City *

Work E-Mail Address *

Phone

Education: University and Postgraduate Degrees

Please fill in all your Master’s degrees. If you have more than one, click on ‘add’

Title *

University *

Place *

Year *

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PhD Information

Supervisor Name *

University *

Matriculation Number *

Required ECTS

(according to your PhD regulation)

Aimed Title *

(PhD in …)

Thesis Title *

Co-Supervisor(s)/PhD Committee *

Start of PhD *

Planned End of PhD *

Attachments

File Upload *

Maximum upload size: 16.78MB

Please add the following documents:
- Proof of enrollment as doctoral student at your university (scan of your immatriculation card)
- Portrait photo

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