Liverpool John Moores University

Liverpool John Moores University Astrophysics Research Institute

Please complete both sides of this form and

return it to the address below:

Dr M. Salaris,

Tick the boxes to indicate for which Astrophysics Research Institute,

course you are applying Twelve Quays House, Egerton Wharf, PhD MPhil Birkenhead, CH41 1LD, UK Full-time Part-time Tel: +44 151 231 2918/2819 Fax: +44 151 231 2921 E-mail:

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STATEMENT OF INTEREST: Please state why you are interested in studying for a postgraduate qualification in astronomy and indicate if there is any area in which you are particularly keen to work.

Academic References: Please provide the names and addresses of two referees who would be able to comment on your suitability for postgraduate study.