(TO BE SENT TO THE COORDINATOR AND IN COPY TO THE ADMINISTRATIVE CONTACT OF THE DEPARTMENT WHERE THE DOCTORATE IS LOCATED)
AUTHORIZATION FOR A STAY ABROAD 
									To the Ufficio Dottorato di Ricerca
									Piazza S. Marco 4
									50121 Firenze	 
The undersigned
(Last Name)....................................................... (Name)...........................................................................
Freshman................................................
(place of birth) ..........................................................(Prov. ........) (date of birth)........................  enrolled in the PhD in ............................................................. ..............................................                    Curriculum in (if any) ................................................................. .......... cycle.................
Asks
authorization to go abroad (for continuous periods of more than six months, the authorization is issued by resolution of the Academic Board to be attached to this document) 

State................................................................. city................................................................................

University or Research Institution.................................................................................................................................
From.................................... per...................................

for...............................................................................................(indicate the reason for the stay)
……..……………………………
                      (signature of the PhD student)
You authorize your stay for the period indicated 
 
The Director of the Department						 The Course Coordinator 
Prof. ________________________ 					Prof. _________________________ 
..........................., .................. 						..........................., .................. 
(place) (date) 								(place) (date)