AFS-II

Advanced Instructional School (AIS-DGLG)

Differential Geometry and Lie Groups

Funded by National Board for Higher Mathematics
Jointly Organized by
Bhaskaracharya Pratishthana, Pune and Dept. of Mathematics, University of Pune
1st Dec, 2006 - 28th Dec, 2006.

Application for Participation in AIS-DGLG (2006)
(Last Date of Application: 19th Sept., 2006)

NAME (in capitals):

Date of Birth:

Gender(M/F):

Scholarship(s) held: NBHM/ CSIR/ UGC/ Others:

Area of interest:

Name and Address of the affiliated Institute:

Postal Address:

e-mail:

Current courses of study (M.Phil./Ph.D.):

Names of two teachers who have given recommendations
(to be sent along with the form or by e-mail):

Any other-relevant information:

Academic record:

	University/ Institute	Year of passing	Overall % score	% in Mathematics
S.S.C.
B.Sc. or B.A.
M.Sc. or M.A.

Signature of the applicant

(To be certified by the Head of the Institute or by a teacher)
Certified that I have verified the records and found the above information correct.

Signature of the Head of the Institute or a Teacher
With Institute Seal

Mail this application to:

Bhaskaracharya Pratishthana
56/14, Erandavane, Damle Path,
Off Law College Road,
Pune - 411 004, India.

==============================
phone: 91 020 25434547
fax : 91 020 25434547
email: bhaskara_p@vsnl.com
visit us: www.bprim.org