2016/2017
SPECIAL REGISTRATION APPROVAL (4th year or more)
Enrollment institution (delete as appropriate)
Lille1
Lille2
ULCO
Artois
UVHC
Ecole Centrale
IMT Lille Douai
other : …
Contact : Christophe VAN BRUSSEL, Coordonnateur ED SMRE – 104
Bureau 106 bis, Bâtiment SN2 - tel : +33 3 20 43 40 62 – mail : [email protected]
Name: .................................................... First name: ............................................ INE : .....................................................
Marital name: ....................................................................................................................................................................
Is running for the preparation of the PhD in the domain (see list below): ...............................................................................
........................................................................................................................................................................................
For the …… registration
 International joint supervised thesis, specify the country : ................................................
MODIFICATION OF PERSONAL INFORMATION (address, phone, mail,…) : ...............................................................
........................................................................................................................................................................................
Arrêté du 25 mai 2016 relatif à la formation doctorale: Art. 14. – “La préparation du doctorat, au sein de l’école
doctorale, s’effectue en règle générale en trois ans en équivalent temps plein consacré à la recherche.
…
Des prolongations annuelles peuvent être accordées à titre dérogatoire par le chef d’établissement, sur proposition du directeur
de thèse et après avis du comité de suivi et du directeur d’école doctorale, sur demande motivée du doctorant. La liste des
bénéficiaires de ces dérogations est présentée chaque année au conseil de l’école doctorale et transmise à la commission de la
recherche du conseil académique ou à l’instance qui en tient lieu dans les établissements concernés.”
THESE REGISTRATIONS THAT MUST RETAIN AN EXCEPTIONAL CHARACTER ARE SUBJECT TO THE
AUTHORIZATION OF THE PRESIDENT OF THE ENROLLMENT INSTITUTION.
APPLICATIONS MUST BE ARGUED AND ACCOMPANIED BY A LETTER FROM THE THESIS SUPERVISOR, AND
SIGNED BY THE HEAD OF THE LABORATORY STATING: THE PROGRESS OF THE WORK AND THE REASONS FOR
THE DELAY IN DEFENSE, THE DATE OF DEFENSE SCHEDULED, THE FUNDING PLAN UNTIL THE DEFENSE
(MONTHLY MINIMUM €1000).
JUSTIFICATION OF THE REQUEST:
Progress of the thesis (if necessary, attach a list of publications and communications) : ..........................................................
........................................................................................................................................................................................
Training courses attended:..................................................................................................................................................
........................................................................................................................................................................................
Recommendations of the thesis monitoring committee (date): ..................................................................................
........................................................................................................................................................................................
........................................................................................................................................................................................
DEFENSE DATE SCHEDULLED (OBLIGATORY): .............................................................................................................
If defense date is planned after the first quarter of calendar year 2017, a new meeting of the thesis monitoring
committee must be organized with the participation of the DDS.
* Doctoral Domains: GEPO (Géosciences, Ecologie, Paléontologie, Océanographie), IFB (Ingénierie des Fonctions
Biologiques), MMC (Molécules et Matière Condensée), OLPCA (Optique et Lasers, Physico-Chimie, Atmosphère)
_______________________________________________________________________________________________________
Thesis Supervisor
favorable (1)
défavorable (1)
Name: ............................................................. )
....................................................................... Date, signature
Co-Supervisor(2) (HDR)
Favorable
(1)
Unfavorable
(1)
Favorable
(1)
Unfavorable
(1)
Name: ............................................................. )
....................................................................... Date, signature
Co-supervisor(2) (non HDR)
Name: ............................................................. )
....................................................................... Date, signature
_______________________________________________________________________________________________________
Head of the laboratory
Favorable (1)
Unfavorable (1)
Name: ............................................................. )
....................................................................... Date, signature
_______________________________________________________________________________________________________
Director of Doctoral Studies
Favorable (1)
Unfavorable (1)
Nom : ..............................................................
....................................................................... Date, signature
_______________________________________________________________________________________________________
Head of the Doctoral School
Favorable (1)
Unfavorable (1)
....................................................................... Date, signature
DECISION OF THE UNIVERSITY
Favorable (1)
Unfavorable (1)
Favorable for one last registration (1)
Date, signature:
(1)
(2)
Delete as necessary and motivate the unfavorable opinion
If necessary
* Director of Doctoral Studies (DDS): GEPO (Xavier VEKEMANS, Nicolas TRIBOVILLARD, SÉBASTIEN MONCHY), IFB
(Pascal DHULSTER), MMC (Patrick CORDIER, jean-François PAUL, Anne PONCHEL, Abdelhak HADJ-SAHRAOUI), OLPCA
(FRÉDÉRIC PAROL, Jean-Paul CORNARD, Majid TAKI)
Please read carefully
 Any student who has obtained this authorization must register at the beginning of
the academic year.
Doctoral enrollment is annual and compulsory
Terms of registration within the doctoral School SMRE
The doctorate registration requires each year a renewal of the individual authorization to enroll in a thesis. The document
can be downloaded from the ED SMRE website http://edsmre.univ-lille1.fr/ or available at the Doctoral School’s office (Bât SN2
– 106 bis).
Before the submission of the individual authorization, you must ensure that you have obtained all signatures (supervisor,
head of the laboratory, Director of Doctoral Studies). The annual interview with the Director of Doctoral Studies (DED) is
compulsory and conditions his visa. During this interview, you get the validation of the training credits. Don’t forget to print and
to bring your FORMADOC portfolio.
The administrative registration in your registration institution and the one at the SMRE have to be carried out jointly, since you
will be asked to produce the individual authorization of registration to register in your registration establishment.
PhD Defense
Before starting the procedure for the defense of the thesis, a final interview with the DED is compulsory. It will permit to close
the training program and the obtention of the last training credits (minimum 60 credits over the duration of the thesis),
and to verify that the conditions for initiate the procedure for PhD defense are met (at least one oral communication in a
congress or one publication in an international journal)
The document can be downloaded from the ED SMRE website http://edsmre.univ-lille1.fr/ or available at the Doctoral School’s
office (Bât SN2 – 106 bis).
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Autorisation to initiate the procedure for defense