Workshop on Operator Theory

Advanced Training in Mathematics Schools

Workshop on Operator Theory

Funded by National Board for Higher Mathematics
Institute for Mathematics and its Applications (IMA), Bhubaneswar
7th - 12th December, 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:

University/ Institute Year of passing Overall % score % in Mathematics

B.Sc. or B.A.

M.Sc. or M.A.

Other

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. Gadadhar Misra

Co-ordinator (ATMW)

Department of Mathematicse

Indian Institute of Science,

Bangalore 560012

email: gm at math.iisc.ernet.in

Phone(O): 0 80 2293 2712, Fax : Fax:0 80 2360 0146