Application Form
Spring School on Fluid Mechanics and Geophysics of Environmental Hazards
(19 April – 2 May 2009)
This form should be completed and returned to: Institute for Mathematical Sciences, 3 Prince George’s Park, Singapore 118402 or fax to: (65) 6873 8292 by 31 January 2009.
*Please indicate as appropriate
** Please delete as appropriate.
1. APPLICATION REQUIREMENTS
(a) A copy of your Curriculum Vitae (please also include your computing experience).(b) 2 letters of recommendation to be sent directly to us at Institute for Mathematical Sciences, 3 Prince George’s Park, Singapore 118402.
(c) Explain in not more than 200 words why you would like to attend this School.
2. PERSONAL PARTICULARS
Title and Full Name as in Passport/Identity Card (underline Surname/Family Name): / Designation:Mr / Mrs/ Ms **
Institution Name & Address: / Contact Details (# required fields)
Office: / Mobile:
Home : / Fax No.
Email # :
Postal Address: (if different from above address): / Nationality:
Passport No #: / Date of Issue #:
Place of Issue: / Date of Expiry # :
Date of Birth: / Country of Birth: / Gender*: Male Female
3. Please complete this section, if you are applying for Financial Support.
a) Please indicate the type(s) of local financial support required from the Institute* :On-Campus Accommodation Living expenses Travel Cost
b) Have you applied or been granted financial support from other sources for your visit* :
Yes No
If yes, please provide details:
c) If your application for Financial Support is unsuccessful, would you be interested to attend the Spring School* :
Yes No
Please note that successful applicant for financial support on accommodation will be placed at campus-accommodation as allocated by the Institute.
Note: / · We will process your application (after receiving the above documents) and you will be informed of the outcome by email or post once a decision has been made.
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