To the Dean of the Faculty of Management, Economics and Social Sciences of the University of Cologne 50923 Cologne Cologne, (date of submission) Application for Admission to the PhD Examination... academic degree (Master, diploma ) first and last name, birth name as appropriate I apply for the admission to the PhD examination in accordance with the PhD Regulations of 2005/2008*. My dissertation is supervised by: Prof. Dr. The second supervisor is: Prof. Dr. Chairman/woman of the examination board for my disputation is: Prof. Dr. Title of the dissertation: In the attachment I enclose: 1. Curriculum Vitae (additional to the CV in the diss.) 2. Enrollment certification (2 semesters doctoral studies) 3. Certificates of doctoral credits according to 5 4. Degree certificates (Bachelor/Master, Magister, Diploma) (as original and copy or as certified copy) 5. Statement concerning the Cumulative Dissertation (if necessary) 6. Three bound copies of the dissertation 7. Declaration of Academic Integrity (Eidesstattliche Erklärung) (German declaration has to be signed, translation to English below) 8. Stay abroad 9. PO 2015: summary (max. 1 page) 10. PO 2015: digital storage medium with dissertation (pdf form) signature... admitted to the PhD examination (date): *please strike out what does not apply
Last name: First name: Birth name (if different): Date and place of birth: Citizenship: Address: Phone: Mobile: E-mail: University entrance qualification (date): Name of school: in: Studies from: to: University/higher education institution in: Diploma/Master s degree (date): Diploma/Master s degree in (field): University/higher education institution: Overall grade: Supervisor: Topic of the final thesis:
Statement about the Cumulative Dissertation I hereby declare that the dissertation, which I have submitted at the Faculty of Management, Economics and Social Sciences, is a cumulative dissertation*. In the case of papers prepared in collaboration with co-authors, I have described my contribution to such publications in the introduction. ( 8 of the doctoral regulations 2008)...... place, date signature This dissertation is based on the following papers: Author/co-authors, as appropriate/title/subtitle/journal/state of publication * The publication of a cumulative dissertation by the submission of 30 copies is only sufficient for the publication guideline, if the dissertation includes papers that have been published or that have been accepted to be published.
Place and date: Declaration of Academic Integrity according to 6.4 of the doctoral regulations from January 16, 2008 "I hereby confirm that the present thesis is the result of my own independent scholarly work. In all cases, material from the work of others (in books, articles, essays, dissertations, and on the internet) is acknowledged, and quotations and paraphrases as well as data and concepts are clearly indicated. With the selection and evaluation of the material listed below, the following persons helped me in the below described way with/without payment: Further persons apart from the co-authors mentioned in the introduction - were not involved in the creation of the present thesis with regard to content and/or material. In particular, I did not make use of the help against payment by mediation or counseling services. No one received direct or indirect monetary benefits from me for work that is linked to the content of the present thesis. The thesis has neither been published before at home or abroad nor submitted in the same or a similar form to another examining authority. I affirm that I have said the pure truth in good faith and that I have not concealed anything." Signature: Ort und Datum: Eidesstattliche Erklärung nach 6 der Promotionsordnung vom 16. Januar 2008 " Hiermit erkläre ich an Eides statt, dass ich die vorgelegte Arbeit ohne Hilfe Dritter und ohne Benutzung anderer als der angegebenen Hilfsmittel angefertigt habe. Die aus anderen Quellen direkt oder indirekt übernommenen Aussagen, Daten und Konzepte sind unter Angabe der Quelle gekennzeichnet. Bei der Auswahl und Auswertung folgenden Materials haben mir die nachstehend aufgeführten Personen in der jeweils beschriebenen Weise entgeltlich/ unentgeltlich geholfen: Weitere Personen neben den in der Einleitung der Arbeit aufgeführten Koautorinnen und Koautoren - waren an der inhaltlich-materiellen Erstellung der vorliegenden Arbeit nicht beteiligt. Insbesondere habe ich hierfür nicht die entgeltliche Hilfe von Vermittlungs- bzw. Beratungsdiensten in Anspruch genommen. Niemand hat von mir unmittelbar oder mittelbar geldwerte Leistungen für Arbeiten erhalten, die im Zusammenhang mit dem Inhalt der vorgelegten Dissertation stehen. Die Arbeit wurde bisher weder im In- noch im Ausland in gleicher oder ähnlicher Form einer anderen Prüfungsbehörde vorgelegt. Ich versichere, dass ich nach bestem Wissen die reine Wahrheit gesagt und nichts verschwiegen habe." Unterschrift:
Place and date: Declaration of Academic Integrity according to 6.4 of the doctoral regulations from March 9, 2005 "I hereby confirm that the present thesis is the result of my own independent scholarly work. In all cases, material from the work of others (in books, articles, essays, dissertations, and on the internet) is acknowledged, and quotations and paraphrases as well as data and concepts are clearly indicated. With the selection and evaluation of the material listed below, the following persons helped me in the below described way with/without payment: Further persons were not involved in the creation of the present thesis with regard to content and/or material. In particular, I did not make use of the help against payment by mediation or counseling services. No one received direct or indirect monetary benefits from me for work that is linked to the content of the present thesis. The thesis has neither been published before at home or abroad nor submitted in the same or a similar form to another examining authority. I affirm that I have said the pure truth in good faith and that I have not concealed anything." Signature: Ort und Datum Eidesstaatliche Erklärung nach 6.4 der Promotionsordnung vom 9. März 2005 "Ich erkläre hiermit, dass ich die vorgelegte Arbeit ohne Hilfe Dritter und ohne Benutzung anderer als der angegebenen Hilfsmittel angefertigt habe. Die aus anderen Quellen direkt oder indirekt übernommenen Aussagen, Daten und Konzepte sind unter Angabe der Quelle gekennzeichnet. Bei der Auswahl und Auswertung folgenden Materials haben mir die nachstehend aufgeführten Personen in der jeweils beschriebenen Weise entgeltlich/ unentgeltlich geholfen: Weitere Personen waren an der inhaltlich-materiellen Erstellung der vorliegenden Arbeit nicht beteiligt. Insbesondere habe ich hierfür nicht die entgeltliche Hilfe von Vermittlungsbzw. Beratungsdiensten in Anspruch genommen. Niemand hat von mir unmittelbar oder mittelbar geldwerte Leistungen für Arbeiten erhalten, die im Zusammenhang mit dem Inhalt der vorgelegten Dissertation stehen. Die Arbeit wurde bisher weder im In- noch im Ausland in gleicher oder ähnlicher Form einer anderen Prüfungsbehörde vorgelegt. Ich versichere, dass ich nach bestem Wissen die reine Wahrheit gesagt und nichts verschwiegen habe." Unterschrift:
Stay abroad during your Doctoral Studies (Please notice that we are legally obligated to capture the given information below for statistical purposes) Name: Matriculation number: Date of birth: Course of studies/ study graduation: During the course of the Doctoral Studies, there was no foreign study abroad Please list not more than three places of residence abroad: First study-related study abroad 1. State of residence: 2. Duration of your stay in months*: 3. What kind of stay: study internship any other study-related stay 4. Type of program: EU-program Erasmus any other international program, e.g. partner university no program, self-organized 5. Number of ECTS-Credits: Second study-related study abroad 1. State of residence: 2. Duration of your stay in months*: 3. What kind of stay: study internship any other study-related stay 4. Type of program: EU-Program Erasmus any other international program, e.g. partner university no program, self-organized 5. Number of ECTS-Credits:
Third study-related study abroad 1. State of residence: 2. Duration of your stay in months*: 3. What kind of stay: study internship any other study-related stay 4. Type of program: EU-Program Erasmus other international program, e.g. Partner University no program, self-organized 5. Number of ECTS-Credits: I hereby certify the accuracy of all information in this form:...... place, date signature