Advanced Training in Mathematics Schools

Workshop: Riemannian Geometry

(Funded by National Board for Higher Mathematics)

Venue :TIFR CAM, Bangalore

19-30 July, 2010

Application for Participation

(Last Date:Wednesday, 19 May, 2010.)

Personal Details

Full Name

First Name

Middle Name

Last Name

Date Of Birth

dd

mm

yyyy

Gender (M/F):


Age

in years as on 1 May 2010 :

Email ID


Phone


Moblie:


Professional Details

Name and Address of college/University where employed


Position


Is the Position Permanent?

Yes/No

Date of Joining


Date of passing NET/SET Examination:(Attach copy of certificate)

DD

MM

YYYY

Scholarship(s) held (if any): NBHM/ CSIR/ UGC/ Others:

(Specify here)

Areas of interest:

(Specify here)

Postal Address :

(SPECIFY POSTAL ADDRESS HEREIN CAPITAL LETTERS, WITH PIN-CODE)

Current courses of study (M.Phil./Ph.D., if any):

(Specify here)

Names of two senior teachers who have given recommendations (to be sent along with the form or by e-mail):

1)

2)

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





Certified that I have verified the records and found the above information correct.

Signature of the applicant


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


Mail this application to:



Professor C. S. Aravinda
Convener, ATMW in Riemannian Geometry
TIFR Centre for Applicable mathematics,
P. O. Box 6503,
Sharada Nagara, G. K. V. K. Post,
BANGALORE - 560 065.

Email:
aravinda at math.tifrbng.res.in
harish at math.iisc.ernet.in

Fax: (080) 6695 3799