| *Participation requested for |
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| *Title |
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| *Name |
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| *Sex |
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| *Age |
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| *Office Address |
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| *Phone |
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| *Email |
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| *Current Position |
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| *Research interest and experience |
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*Year of joining
for PhD:
*Supervisor Name:
Year of obtaining the degree
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Research Scholar
PhD
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| Whether Financial Support Required |
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Yes
No |
| If yes to above, support required for |
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Travel
Boarding & Lodging |
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Travel, boarding and lodging as per norms will
be provided to a limited number of participants.
Research students should request their research
supervisor/head of the department to send a letter
of recommendation by post/email to IMI.
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| Please submit this
form before the deadline
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If you are not able to
submit your application online, you may download
the print version of the form and send it by
post to IMI before the deadline
:
The Secretariat
IISc Mathematics Initiative (IMI)
Department of Mathematics
Indian Institute of Science
Bangalore - 560012. INDIA.
Phone: +91-80-23605390, 22933217, 22933218
Fax: +91-80-23605390, 23600146, 23600085
E-mail: imi@math.iisc.ernet.in |
