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