APPLICATION PROFORMA

ISI WORKSHOP ON GROUP THEORY

 

1.                  Name:

 

2.                  Date of Birth:

 

3.                  Sex:

 

4.                  Address for Correspondence:

 

 

 

 

5.                  E-mail:

 

6.                  Academic Affiliation:

 

7.                  Current Position:

 

 

8.                  I have contingency grant or some other source of travel support: Yes/No

 

9.                  Accommodation at ISI needed: Yes/No

 

 

 

Signature:

 

Date:

 

Applicants are requested to briefly describe their field of interest. Students are further requested to arrange to send a letter of recommendation directly to the address below, but preferably by email to groups@isibang.ac.in.

 

Send the application preferably electronically to groups@isibang.ac.in or to:

 

N.S.N. Sastry

Indian Statistical Institute

R.V. College Post

Bangalore - 560 059

 

Fax : (080) 28484265

 

 

 

(Last date: February 1, 2008).