ATML - Complex Analysis

Advanced Training in Mathematics School for Lecturers (ATML)

in Functional Analysis-I

(Funded by National Board for Higher Mathematics)

Indian Statistical Institute, Bangalore,

2-13 June, 2008

Application for Participation in ATML-Functional Analysis (2008)
(Last Date of Application: by Monday, 21st, April 2008.(Extended, 25th April.)
The list of selected candidates will be posted on the websites of ATM Schools on Monday, 28th April 2008.(Extended, 30th April.))

NAME (in capitals) First/Middle Initial/ Last:

Date of Birth:

Gender(M/F):

Age in years as on 1 May 2008 :

Name of college/University where employed:

Is the position permanent?

Date of Joining as a lecturer:

Date of passing NET/SET Examination (Attach copy of certificate)

Email address:

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

Areas of interest:

Postal Address (in Capital Letters, with PIN-code):

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

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

Whether any workshops in Mathematics attended earlier?

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

Signature of the Principal/Head of Dept.
With Institute Seal

pdf version of form

Mail this application to:

Convener: T.S.S.R.K. Rao

Co-ordinator (ATML)

Head, Indian Statistical Institute

8th Mile Mysore Road,

R. V. College PO, Bangalore -560059

email: tss at isibang.ac.in

Phone/Fax: 91-80-28483001,Fax : 91-80-28484265