Request for prolongation in fourth year

ED n°474 Interdisciplinaire Européenne "Frontières du Vivant" - Liliane Bettencourt
Request for prolongation in fourth year
According to the FdV guidelines:
Duration of the thesis
PhD students in France are expected to finish their PhD in 3 years. Extensions are
only granted under exceptional circumstances and need the approval of the Thesis Advisory
Committee and the director of the doctoral school. Extensions will only be considered if funding
is available.
Each application for a fourth year needs to be discussed with the school management. Prolongation in a
fourth year can only be granted by the University President, upon proposal by the director of the PhD
program and motivated letter of the supervisor(s). In order to approve your registration in fourth year
considering the previous requirements and the policies of our Universities you should provide us:
 An application letter by you explaining your request for registering in fourth year, open format.
Detail the advancement of the thesis.
 A letter should also be provided by your supervisor(s).
 The approval of the thesis advisory committee, either written statement in the TAC report, or
motivated letter signed by the tutors.
 The attached form filled indicating:
 title of your manuscript
 status of the required articles
 the composition of your thesis jury, and name of the reviewers
 the date of your defense
 details on special circumstances
 The official request form filled for the University (in French)
 A formal proof of your funding.
Include your last TAC report and yearly training activity report.
ED n°474 Interdisciplinaire Européenne "Frontières du Vivant" - Liliane Bettencourt
Request for prolongation in fourth year
First Name:
Second Name:
Title of the manuscript:
Summary:
Funding during the prolongation:
Date of end of your current fellowship:
Dates for your prolongation fellowship, start:
End:
Source of the funding:
Amount:
FdV publication criteria for defense, indicate the status and possibly references of the articles:
At least one published peer-reviewed article, (not necessarily 1st author) :
1st-author submitted/prepared manuscripts to peer-reviewed international journals:
Submitted/prepared review article, (not necessarily 1 st author) :
Other publications:
Composition of your jury:
Status
Reviewer (rapporteur) 1:
Name
Title
Institution
Reviewer (rapporteur) 2:
Jury member :
Jury member :
Jury member :
Jury member :
Date of defense:
Signature of the PhD student
Signature of thesis supervisor1
Signature of the thesis supervisor1
To be filled by the doctoral school:
Fulfillment of TAC obligations (see TAC reports) : YES NO
Courses obligations (see training activity reports) : YES NO
Complete 4th year registration request (motivation,TAC opinion, reports, university request) : YES NO
Registration in the 4th year : Accepted/ Refused
Remarks:
Signature of the director of the doctoral school
Date