AIS-RTA
Advanced Instructional School (AIS-RTA)
Representation Theory & its Applications
Funded by
National Board for Higher Mathematics
Jointly Organized by
Bhaskaracharya Pratishthana, Pune and
Dept. of Mathematics, University of Pune
2 - 28 July, 2007.
Application for Participation in AIS-RTA (2007)
(Last Date of Application: 5th April., 2007)
The list of selected participants will be displayed on the website: www dot bprim dot org, on 15th April,07.
| NAME (in capitals): |
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| Date of Birth: |
Gender(M/F): |
| Scholarship(s) held: NBHM/ CSIR/ UGC/ Others: |
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| Area of interest: |
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| Name and Address of the affiliated Institute: |
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| Postal Address: |
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| e-mail:(Please write email address legibly) |
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| 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):
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| Any other-relevant information: | |
Academic record:
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University/ Institute |
Year of passing |
Overall % score |
% in Mathematics |
| S.S.C. |
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| B.Sc. or B.A. |
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| M.Sc. or M.A. |
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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.
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phone: 91 020 25434547
fax : 91 020 25434547
email: bhaskara_p@vsnl.com
visit us: www.bprim.org