SAMPLETU Dortmund University Examination Board of the Faculty of Mechanical Engineering The Head Contact: Examination Office, Team 3 Persons in charge: Mrs. Tesche, Tel.: +49 (0)231 755-3714 Fax: -5346

Certification of Issuance of the Master´s Thesis Topic Manufacturing Technology Mrs./Mr. xxx yyy matriculation no.: 012345 has fulfilled the requirements to be issued a master´s thesis topic in accordance with the examination regulations as well as the applicable module description Manufacturing Technology. The thesis topic may be issued.

On behalf of the Head of the Examination Board

Dortmund, 13. Januar 2017 _____________________

The master´s thesis shall not exceed 120 pages and shall be written in English. If the student fails to submit two paper copies along with an electronic copy of the thesis (to the Dean´s Office of the Faculty of Mechanical Engineering) in due time, the thesis will be graded "insufficient"!

Seal of the supervising chair/institute

CERTIFICATE OF RECEIPT of a master´s thesis topic

Last name, First name:______________________________________________________

Student-ID: ___________________

E-Mail: ______________________________________________________ Today I have been issued the following topic for my master´s thesis:

Master´s thesis topic: ______________________________________________________________________ ______________________________________________________________________ Completion period for the master´s thesis: 6 months

1 st examiner / supervisor: ______________________ ________________________ Name 1 st examiner /supervisor Signature 1 st examiner /supervisor 2 nd examiner / supervisor: _____________________ __________________________ Name 2 nd examiner /supervisor Signature 2 nd examiner /supervisor

Confirmation of Receipt: Date of Issuance: ___________________ ______________________________ (Student´s siganture) Please return the filled out and signed form after the start of your master´s thesis completion period to the Examination Office of TU Dortmund University, Team 3, to the attention of Mrs. Tesche