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IISc Mathematics Initiative (IMI)
 

REQUEST FOR PARTICIPATION

  • Please use separate form for each Workshop/Conference/Symposia
  • Fields marked with a (*) are mandatory
Participation requested for * :
Title * :
Name * :
Gender * : Male    Female
Age * :
Address for Correspondence * :
Phone * :
Email * :

     
Highest Academic Qualification (with College/University) * :
Current Position * :
Research interest and experience * :
Motivation for attending the workshop/conference *
(Indicate relevance to past work and future plans).
:
Your Resume * :

If you are interested in giving a Poster Presentation please specify
Title :
Abstract (.doc file) :

Whether Financial Support Required : Yes      No
If yes to above, support required for : Travel
Accommodation

Travel and accommodation as per norms will be provided to a limited number of participants.

Students are required to obtain a recommendation letter from their research supervisor. The supervisor should send the letter by email directly to IMI (imi@math.iisc.ernet.in)

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

 

 




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