Advanced Training in Mathematics Schools 1st - 13th June 2009
| NAME (in capitals): | ||||||||||||||||||||||
| Date of Birth: | Gender(M/F): | |||||||||||||||||||||
| Age: | ||||||||||||||||||||||
| Scholarship(s) held: NBHM/ CSIR/ UGC/ Others: | ||||||||||||||||||||||
| Area of interest: | ||||||||||||||||||||||
| Name and Address of the affiliated Institute: | ||||||||||||||||||||||
| Postal Address: | ||||||||||||||||||||||
| e-mail:(Please write email address legibly) | Phone: | |||||||||||||||||||||
| Date of Joining Ph.D. programme: | ||||||||||||||||||||||
| 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): | ||||||||||||||||||||||
| ATM SCHOOLS attended before: | ||||||||||||||||||||||
| Whether any other workshops in Mathematics attended earlier? | ||||||||||||||||||||||
| Any other-relevant information: | ||||||||||||||||||||||
Academic record:
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Signature of the applicant
Signature of the Head of the Institute or a Teacher
With Institute Seal
| T.S.S.R.K. Rao |
| Co-ordinator (ATMW) |
| 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 |