Advanced Course on 

Quasideterminants and Universal Localization

January 30 to February 10, 2007

Application Form for Financial Support 

Deadline for Aplication: November 10, 2006

All fields have to be filled

I am applying for Lodging finantial support:             

Passport/DNI


Institution Full Address

Department:

University:

Street and number:

P.O. Box:         City:
 
Postal  Code:  Country:
 
Telephone:                                Fax:
 
e-mail:

Personal Address

Street name and number:


City:
 

Postal Code:   Country:               
 

Citizenship:                     Birthdate:
  

Members of the Societat Catalana de Matemàtiques (can deduct 50% off the General Registration)

Yes, I am a member of the SCM    

No, I am not a member of the SCM  

* Please, send an abstract (up to one page long) to ACQuasideterminants@crm.es before November 10, 2006. No communication will be accepted unless the abstract is received by that date. Please, write "Abstract by YOUR NAME" on the message subject.

Academic Record
Date diploma obtained  (DD/MM/YY):
(the one that gives you direct access to doctoral studies)  

Date doctoral degree obtained (DD/MM/YY):         

Number of years of research experience (full-time equivalent) 
since obtaining diploma which gives you direct access to doctoral studies in the country in which the diploma was obtained: 

Thesis Advisor/Research Supervisor: 

Present Academic Position:

If not, please, go up to the top of the form and do it now.

If yes, you are ready to send the form.

   

CENTRE DE RECERCA MATEMÀTICA Apartat 50 E-08193 BELLATERRA