Application form
“NATIONAL SCHOOL CUM WORKSHOP IN ACCELERATOR PHYSICS”
March 15 – March 18, 2016
Department of Physics, Panjab University, Chandigarh - 160014
DEADLINE FOR RECEIVING APPLICATIONS - 1st March, 2016 Selected participants will be informed by 2nd March, 2016 Confirmation of participation by the participant - 3rd March, 2016
First Name :
Last Name :
Gender :
Affiliation :
Designation : (eg. JRF/SRF/ PhD student/ Postdoc/Faculty)
Email :
Mobile No :
Official Address for correspondence :
Date of Birth : (dd/mm/yyyy)
Date of Ph.D. Registration : give the date of completion if you have completed Ph.D.; give "NA" if not applicable
Area of research interest / Thesis topic : (write in brief)
Please state in few lines (less than 100 words) in what way your participation in the school cum workshop will help you in your research:
Name and affiliation of research supervisor
:
Note: Soft copy of the properly filled application form (Doc format/Pdf format) should be mailed to [email protected] . Selected participants will be informed via E-Mail. Last date of application is 1st March 2016.
Outstation applicant should apply as soon as possible.