REACH-UPPA
EXTENSION REQUEST FORM 
(if applicable)

FULL NAME OF THE CANDIDATE
FIRST NAME

	LAST NAME	
.

CONDITIONS
Candidates may apply within three years of obtaining their doctoral degree. The eligibility period may be extended for duly documented reasons beyond the applicant’s control, including maternity, paternity or parental leave, long-term illness, national service, clinical training, natural disasters, asylum, or situations where the applicant has been a victim of gender-based violence or other forms of violence.
For maternity leave, an extension of 18 months per child born before or after the PhD defence is granted as a flat rate. If the documented duration of leave (e.g. maternity leave combined with parental leave) exceeds this period, the eligibility period will be extended by the actual duration of leave taken.
For paternity or parental leave, as well as long-term illness, national service, or other duly justified circumstances, the eligibility period will be extended by the documented duration of leave taken.
Applicants requesting an extension must provide appropriate supporting documentation.

The extension is requested for the following reason:

REASON	Tick the appropriate case	DATE	
Maternity			
Paternity			
Long-term illness			
National service			
Other (specify)