Suggestion for PhD thesis assessment committee

Suggestion for assessment committee for doctoral theses submitted for assessment at the Faculty of Medicine.To be submitted by the main supervisor. Please note that members of the assessment committee should not have any publications or scientific collaboration during the last five years to be considered unbiased (legally competent with respect to the Public Administration Act sections 6-10). Also note that there should be one male and one female opponent. In the event that this is deemed impossible, exeptions can be made, but this requires an explanation and a list of three persons of the underrepresented sex who were unavailable should be submitted.

Department affiliation (candidate)

Skjemaet fordeles til denne saksbehandler på instituttet.
Name of candidate Name of candidate Fornavn Etternavn
Supervisor information

Please add the requested information about all appointed supervisors
Name of main supervisor Name of main supervisor Fornavn Etternavn
E-mail (main supervisor)
Academic title and institution (main supervisor)
Name of co-supervisor Name of co-supervisor Fornavn Etternavn
E-mail (co-supervisor)
Academic title and institution (co-supervisor)
Any other appointed co-supervisors (name, e-mail, title and institution)
Assessment committee proposal

All suggested candidates must be willing to accept the task.
Name of the proposed first opponent Name of the proposed first opponent Fornavn Etternavn
Sex (first opponent)

Sex (first opponent) Male Female

Please note that there should be one male and one female opponent. Should this not be possible, please submit a note explaining why and listing three tre names that have been asked but were unable to accept.
E-mail (first opponent)
Mobile phone number (first opponent)

Mobile number is nescessary for the process of paying the opponents
Academic title of the first opponent (PhD/Dr.Med./Dr.Scient. or equivalent)
Position and institution (first opponent)
Name of the proposed second opponent Name of the proposed second opponent Fornavn Etternavn
Sex (second opponent)

Sex (second opponent) Male Female

Please note that there should be one male and one female opponent. Should this not be possible, please submit a note explaining why and listing three tre names that have been asked but were unable to accept.
E-mail (second opponent)
Mobile phone number (second opponent)

Mobile number is nescessary for the process of paying the opponents
Academic title of the second opponent (PhD/Dr.Med./Dr.Scient. or equivalent)
Position and institution (second opponent)
Name of the proposed chair of the committee (must hold a scientific position at the Faculty of Medicine) Name of the proposed chair of the committee (must hold a scientific position at the Faculty of Medicine) Fornavn Etternavn
E-mail (chair of the committee)
UiB position (chair of the committee)
Language for letters to the committee and for the trial lecture/defence

Language for letters to the committee and for the trial lecture/defence Norwegian/Scandinavian English
The PhD public defense at the Faculty of Medicine are conducted as physical events. If opponents do not have the opportunity to meet physically, or the candidate lives abroad, the department can assist in arranging digital participation for them. If this is relevant for this PhD defense, please describe the reasons below:
Conflict of interest (Legal capacity)

Conflict of interest (Legal capacity) I confirm that there are no conflicts of interest related to this committee proposal

Proposal of committee members should only be made after considering their legal capacity according to the Public Administration Act §§ 6-10. Also note that the committee members should normally not have any scientific collaboration or scientific publications with each other, the supervisors or the candidate during the last five years. Should there be any doubt about their legal capacity, a separate explanation must be submitted below.
Please upload the declaration of co-authorship (in English)

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Any other attachments

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Signature (main supervisor)

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Suggestion for PhD thesis assessment committee

Suggestion for PhD thesis assessment committee

Supervisor information

Assessment committee proposal