Registration

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

PARTICIPATION APPLICATION FORM 37th INTERNATIONAL NATHIAGALI SUMMER COLLEGE ON PHYSICS AND CONTEMPORARY NEEDS, 25th June 7th

h July, 2012, Nathiagali, Pakistan


Indicate the scientific activity of interest: Activity-I (25th June 30th June, 2012)
Astrophysics/ Particle Physics/ Cosmology/ Space Physics

Activity-II (2nd July 7th July, 2012)


Accelerator Physics and Applications

Name: (Underline Surname) .. Father's/Spouse Name: .....Marital Status .......... Date of Birth .................. Place of Birth ............ Nationality .... Official Address: Phone: Fax: E-mail: ................ Home Address:

Preferred Mailing Address (Please tick):

Office

Home

FOR OVERSEAS APPLICANTS ONLY Passport No: Expiry Date: . Education (Masters Degree and above): Institution attended Period (Years) to to to Degree obtained/Subject . .... .... Date/Place of Issue: ... Nearest Departure Airport:

Title of thesis: M.Sc. /M.S.: Ph.D.: Previous and current scientific and academic responsibilities: Institution Period (Years) to to

Responsibilities/Position:

. ....

Work done during the last five years and current field of interest: (Please give a 50-words summary and enclose list of publications)

Title of paper / poster to be presented (if any):

Travel expenses required

Half

Full

No

Previous Nathiagali Summer Colleges attended: (Topic & Year)

Any medical problems:

Undertaking If selected, I will participate in the Summer College for the entire duration offered to me

Signature:

Please Don't Forget To Enclose: 1. Two recent photographs 2. List of publications during the last five years.

Deadline for receipt of requests: 07th April, 2012 Mailing Address: Executive Secretary International Nathiagali Summer College, PAEC, P.O. Box 1114, Islamabad, Pakistan Fax (+92-51) 9208533/9204908 Email: insc@comsats.net.pk

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy