AIS
Advanced Instructional School
on Atiyah-Singer Index Theorem
Funded by
National Board for Higher Mathematics
Department of Mathematics, IIT Bombay
6th July - 1st August, 2009
Application for Participation in AIS on Atiyah-Singer Index Theorem (2009)
(Last Date of Application: Monday, 4th May, 2009)
The list of selected participants will be displayed on the website:
www dot bprim dot org, on Monday, 11th May, 2009.
| 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) | Phone: |
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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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| Other |
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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:
Prof. A. Ranjan / Prof. A. R. Shastri
Coordinator, AIS on Atiyah-Singer Index Theorem
Department of Mathematics, IIT Bombay,
Powai, Mumbai 400 076
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e-mail: aranjanat math.iitb.ac.in, ars atmath.iitb.ac.in,
website: http://www.bprim.org/atm