XVIIth I.A.C.S. SUMMER SCHOOL ON BASIC SCIENCES,2015 (12th -29th May, 2015) Organized by Department of Theoretical Physics, Indian Association for the Cultivation of Science, 2A&B, Raja S.C. Mullick Road, Jadavpur, Kolkata-700032 REGISTRATION FORM PLEASE AFFIX A SELF ATTESTED RECENT PHOTOGRAPH Name of the applicant : Name of the School where from H.S. Exam. appeared : Residential address : Contact No. ( if any ) : What would you like to study after school ? : ……..………………………………………… Signature of the candidate in full N.B.: You may submit the registration form duly filled in and signed along with self-attested photocopy of Madhyamik (Secondary) Admit Card, Madhyamik (Secondary) Marksheet and Higher Secondary Admit Card to the Departmental Office, Department of Theoretical Physics,(R/No.-C411, 3rd Floor, Centenary Building, IACS) in person or submit the same electronically to [email protected] on or before 8th May, 2015. If required, please, contact to : 033-2473-4971, Extn. – 2291/2292
© Copyright 2024