\documentclass[12pt]{article}

\begin{document}


\begin{center}
Doctoral Course in Mathematical Sciences \\
  curriculum: ({\em  Mathematics or Computational Mathematics})
\end{center}
\begin{center}
Cycle XXXVIII
\end{center}

\begin{center}
Final report of the PhD Student's activity 
\end{center}

\begin{center}
PhD Student: {\em Name and surname}
\end{center}
\begin{center}
Supervisor: {\em Name and surname}  \\
co-Supervisor:   {\em Name and surname}
\end{center}

\bigskip

\noindent
{\bf Attended courses}. ({\em  Please list the titles of all courses of which you passed the exam - or only attended - specifying if they are Courses of the PhD School or Courses for a curriculum.})  \\


\noindent{\bf Further activities:} \\
 ({\em  e.g., soft skills activities, popularization (=``terza missione'') activities}) \\
 
 \vspace{.5cm}
 
 \noindent{\bf Teaching activities (i. e., various types of tutoring):}\\
 ({\em please list your teaching activities, if any})\\
 
 \vspace{.5cm}
 
 \noindent{\bf Use of your research fund:}\\
 ({\em please state how much research money is left})\\


 \vspace{.5cm}

\noindent{\bf Other scientific activities:}  \\
({\em  e.g., talks delivered or attended; conferences attended, \ldots})  \\  

\vspace{.5cm}

\noindent{\bf Travels and research periods abroad:} \\
({\em please list your travels and research periods abroad; please be patient, as we need your help: count the number of days you spent abroad})\\

\vspace{.5cm}



\noindent{\bf Research activity:} ({\em  Please describe the problems that you worked on, the methods used and the results obtained.} \\

\noindent{\bf References} {\em (if needed)}  \\

\noindent
\hspace{6cm} Signature {\em (of the PhD student)}

\vspace{1cm}

\noindent
\hspace{6cm} Signature {\em (of the Supervisor)}

\vspace{1cm}

\noindent
\hspace{6cm} Signature {\em (of the co-Supervisor)}

\end{document}