Application for permission to defend the dissertation Surname, name, title, učo: E-mail: Mobil: Study program/specialization: Title of the thesis: Language of the thesis: Hiding parts of the thesis: YES – NO (delete if not applicable). Exceptionally, an application can be submitted via the IS according to Section 40 of MU study and examination regulations. In this case, i tis necessary to have the application not only submitted, but also approved by the appropriate vice-dean before submitting the dissertation. …………………… date and signature Required attachments to the application 1. Uploading thesis to the Archive of thesis in IS MU. Copies of dissertations are not required from 1 January 2022 with the following exceptions: Four copies are to be handed in whenever you request to hide part of your thesis. As requested by the doctoral board/doctoral committee, see page 2, you are submitting the indicated number of copies. 2. Abstract of the thesis (signed by the student). 3. List of publications (Annex 3) related to the topic of the thesis (sorted by quartile of the journal’s impact factor in the Web of Science (Q1 to Q4) and indidcate the corresponding category according to WoS); other key publications and papers accepted for publication (this attachment is not signed – it should be sent only electronically in Word to the assistant of Office for Research and Quality). 4. Current CV in English according to the template, signed by the student. 5. Supervisor’s statement on the courses of study, fulfilment of the individual study plan and results of the dissertation (in free form and signed by the supervisor). 6. A statement from the chair of the doctoral board (if the programme being studied has a specialization, a statement from the chair of the doctoral committee) that all requirements of the programme board/programme committee have been met (in free form and signed by the chair of the doctoral board/doctoral committee). The required number of copies*, that the student must submit with other documents are indicated in red for each programme or specialization. Doktoral study programme Specialization Required numberof copiesof thesis Anestheziology, Intensive Medicine and Pain Management No specialization 4 Bioethics No specialization 1 Biomedical Sciences Biochemistry and Molecular Biology 0 Cell and Tissue Morfology 0 Molecular Medicin 0 Pharmacology Experimental and Applied Pharmacology 1 Pharmaceutikal Medicine 1 Physiology, Pathological Physiology, Medical Chemistry and Biochemistry Physiology 3 Medical Chemistry and Biochemistry 3 Pathologikal Physiology 3 Hygiene, Preventive Medicine and Epidemiology No specialization 0 Surgery and Reproductive Medicine Surgery 0 Ophtalmology 3 Obstetrics and Gynaecology 2 Medical Microbiology, Imunology and Pathology Medical Microbiology and Imunology 0 Pathology and Forensic Medicine 0 Neurosciences Neurosciences 1 Neurology 0 Psychiatry 0 Oncology and Hematology Hematology 0 Solid Tumors 1 Experimental Oncology and Tumor Biology 0 Pediatrics No specialization 3 Healthcare Simulation No specialization 0 Dentistry and Otorinolaryngology Dentistry 0 Otorinolaryngology 1 Internal Medicine Internal Diseases 3 Cardiology 0 Dermatovenerology 3 Imaging Methods and Medical Physics Radiology – Imaging Methods 0 Medical Physics 1 * The table may be updated in the course of the study if required by the doctoral board / doctoral committee.