Annex 13: Publishing Information on the Habilitation Procedures pursuant Section 75, Act 111/1998 on Higher Education (Higher Education Act) University: .......... Faculty / university institute: .......... Declares: I. Initiation of habilitation procedures: .......... (date of applicant’s proposal reception) Applicant: ..................... (name, surname, degrees) ..................... (employment information) Identity number: ..................... (also date of birth for international applicants) Marital status: ..................... (plus gender for international applicant) Maiden surname: ..................... (for female applicants) Permanent address: ..................... (international applicant also address in CR and nationality) Field: ..................... In .......... on .......... rector (signature and university seal) II. Changes of the above-mentioned information: .......... In .......... on .......... rector (signature and university seal) III. Habilitation procedure result: A. The applicant has been conferred associate professor as of .......... pursuant the regulations of Section 72 of the Higher Education Act. B. The habilitation procedure was terminated on .......... pursuant the regulations of item ......, Section 72 of the Higher Education Act. In .......... on .......... rector (signature and university seal)