June 25 to 29, 2007

Application Form for Financial Support 

Deadline for Aplication: April 27, 2007

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:
  

I am interested in presenting a communication*: Yes    No

Title:

* Please, send an abstract (up to one page long) to Enumeration@crm.es before April 15, 2007. No communication will be accepted unless the abstract is received by that date. Please, write "Abstract by YOUR NAME" on the message subject.

If time constraints do not allow all submitted short talks to be presented the Scientific Committee, in consultation with recognised experts, will make the selection. All participants will be informed of the final choice of short talks by May 6, 2007.

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