| *Participation requested for |
: |
|
| *Title |
: |
|
| *Name |
: |
|
| Sex |
: |
|
| Age |
: |
|
| Office Address |
: |
|
| Phone |
: |
|
| Email |
: |
|
|
| Current Position |
: |
|
| Research interest and experience |
: |
|
Year of joining for PhD:
Supervisor Name:
Year of obtaining the degree
|
: |
Research Scholar
PhD
|
|
| Whether Financial Support Required |
: |
Yes
No |
| If yes to above, support required for |
: |
Travel
Boarding & Lodging |
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.
|
| Please submit this form before the deadline . |
|
|
|
|
|
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 |