ATML - Functional Analysis

Advanced Training in Mathematics School for Lecturers (ATML)

in Functional Analysis-II

(Funded by National Board for Higher Mathematics)

Bhaskaracharya Institute of Mathematics, Pune

3-15 November, 2008

Application for Participation in ATML-Functional Analysis (2008)
(Last Date of Application: by Monday, 25th August, 2008.
The list of selected candidates will be posted on the websites of ATM Schools on Monday, 1st September, 2008.)

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.
Other

Signature of the applicant

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

pdf version of form

Mail this application to:

V. M. Sholapurkar

Co-ordinator (ATML)

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

email: atmbim at gmail.com

Phone/Fax: 91-20-25434547