Professor

Name

Function

Phone

Fax

E-mail address

Optional line 1

Optional line 2

Düsseldorf, 11.12.2014

Heinrich Heine University Düsseldorf 40225 Düsseldorf

Faculty of Mathematics and Natural Sciences

at the Heinrich Heine University Düsseldorf

Dean’s office

-Doctoral affairs-

Universitätsstr. 1

40225 Düsseldorf

Heinrich Heine University

Düsseldorf

Universitätsstraße 1

40225 Düsseldorf

Building

Level Room

www.uni-duesseldorf.de

Confirmation of co-supervision

Dear Mr. Vice-Dean,

I hereby declare that I am prepared to be the co-supervisor of the dissertation by Title First name Surname.

Proposed title of the dissertation:

Title of the dissertation – please enter the complete title of the dissertation!

1st reviewer: Title First name Surname

2nd reviewer: Title First name Surname

Mentor:	Title First name Surname

With kind regards,

Düsseldorf, 11/12/2014	_________________________

Signature of the co-supervisor