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Document to be returned duly signed by email attachment at: info@selinusuniversity.it

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Ph.D. APPLICATION FORM Uniselinus Europe Networking University Srl
N US E Via Roma, 200 - 97100 Ragusa - Italy
LI

Uniselinus Europe
U
UNISE

ROPE
Uniselinus Europe Ltd
71-75 Shelton Street, Great London
WC2H 9JQ London, UK
www.uniselinus.education

doctor of philosophy (ph.d.) by research via distance learning

Name Surname
Nationality Date of birth City of birth
Resident in Current Address
Zip Code Phone number E-mail address
Being interested in following a Uniselinus Europe study program to get a Doctor of Philosophy degree in

I Ask to be admitted to the pursuit of academic research in the following subject:

(research area)

My research work will culminate in a final thesis titled:

Write here the title of the final thesis

My final thesis will be submitted within: 6 months 12 months 18 months 24 months (Mark the expected time)
Academic Qualifications:

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about Selinus University? engines Academic students advertising Media

Attach a copy of the following documents: Identity card or passport, 1 passport size photo, CV.

Philosophy Doctor (Ph.D.) - European Union Countries 2.600 Eur (Vat included)
- USA 2.600 US Dollar
Total amount - Rest of the World 2.275 Eur
Select Instalment Plan: The payment method will be by bank transfer
Single payment 4 consecutive monthly or paypal within 10 days since receipt of
10% discount instalments
the Enrollment Certificate.
The bank details will be communicated at
2 consecutive monthly 6 consecutive monthly
instalments instalments the time of the enrollment

I declare that in the case of acceptance of the proposal by Uniselinus I am committed to diligently follow my research program and to present the final thesis in the
established time. I declare to have read the web campus www.uniselinus.education and have found the Uniselinus status, its private non
governmental accreditations, its organization, its studio system, suitable for my purposes. I declare that I am aware that my degree may be issued only if
all the fee are paid. Finally, I declare that all the information recorded in my CV is real and truthful and that it is Uniselinus's authority to delete me from the
program in case of false statements.

Date, place and signature

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