Advanced Instructional School    

Group Theory

Funded by
National Board for Higher Mathematics

Venue : IIT Bombay, Powai, Mumbai

10 May - 29 May, 2010

Application for Participation in AIS on Group Theory (2010)
(Last Date of Application: Last date: Saturday, 20th Feb. 2010)
The list of selected participants will be displayed on the website on Saturday, 27th Feb. 2010.




NAME (in capitals):
Date of Birth:     Gender(M/F):
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:
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):
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


(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. J. K. Verma
Coordinator, AIS on Group Theory
Department of Mathematics, IIT Bombay,
Powai, Mumbai 400 076

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e-mail: jkv atmath.iitb.ac.in,
website: http://www.bprim.org/atm