UNITED NATIONS EDUCATIONAL, SCIENTIFIC AND CULTURAL ORGANIZATION
and
INTERNATIONAL ATOMIC ENERGY AGENCY

THE ABDUS SALAM INTERNATIONAL CENTRE FOR THEORETICAL PHYSICS

P.O. Box 586 Telephone:+39 040 2240111
I - 34100 Trieste Cable:CENTRATOM
Italy Telex:460392 ICTP I
Telefax:+39 040 224163
E mail: smr1222@ictp.trieste.it

REQUEST FOR PARTICIPATION


SCHOOL ON VANISHING THEOREMS AND EFFECTIVE RESULTS IN ALGBRAIC GEOMETRY

ICTP, Trieste, Italy

25 April - 12 May 2000


INSTRUCTIONS
Each question must be answered clearly and completely. Type or print in ink. If more space is required, attach additional pages. The request for participation form should be forwarded to:
The Abdus Salam International Centre for Theoretical Physics, School on Vanishing Theorems and Effective Results in Algebraic Geometry
(c/o Ms. A. Bergamo),
P.O. Box 586,
I - 34100 Trieste, Italy
to arrive no later than 10 January 2000.

A recent photograph of the candidate should be attached here, signed legibly on the reverse.

Graduate and doctoral students should include two letters of recommendation.

NOTE: This request will be processed onlyif the permanent address (and present address, if different) is clearly indicated. The ICTP cannot process any visa request, unless all requested personal data are provided.

Application forms sent via e mail will be accepted ONLY when the deadline is imminent. The file should be send as attachment, in RTF format. In any case, a signed hard copy must follow by post.


PERSONAL DATA


                              For women
                           (if applicable)
SURNAME/FAMILY Name:	     MAIDEN Name        First name(s)     Middle name(s)     Sex	

.....................      .................  ..................  ................   ....


IMPORTANT: PLEASE ALSO COMPLETE THIS SECTION, IF YOUR NAMES IN YOUR PASSPORT, ARE SPELT DIFFERENTILY FROM THE ABOVE. For women (if applicable) SURNAME/FAMILY Name: MAIDEN Name First name(s) Middle name(s) Sex ..................... ................. .................. ................ ....
Place of birth Present nationality Date of birth ................................... ................... ..................... (City and Country) (year - month - day)
Full name & address of permanent Institution: Institute: Tel. no.: Cable: Telex: Telefax: Your Office: Tel. no.: Telefax: e-mail *:
Full name & address of present Institution (if different from permanent): Institute: Tel. no.: Cable: Telex: Telefax: Your Office: Tel. no.: Telefax: e-mail *: Until: Date ...........................
My e-mail address(es) may be made public on the ICTP WWW page: Yes /__/ No /__/

Home address: Tel. No.:
Mailing address - Please indicate whether: Permanent Institution /__/ or Present Institution /__/ or Home /__/
Name and address of person to notify in case of emergency - Relationship: Tel No.:
EDUCATION (higher degrees) University or equivalent Years attended Degrees Name and place From To
Seminars, summer schools, conferences and/or research Name and place Year
SCIENTIFIC EMPLOYMENT AND ACADEMIC RESPONSIBILITIES Research Institution or University Period of duty Academic Responsibilities Name and place From to Present employment and duties, and foreseen employment upon return to home country after the activity:
Have you participated in past ICTP activities. Yes /__/ No /__/
If yes, which? Are you applying to any other 2000 ICTP activities? Yes /__/ No /__/ If yes, which?
Mention briefly your previous research experience, and explain your reasons for wishing to participate in this activity: NB Our scientific Information System keeps track of all applications made by the candidate to earlier ICTP activities. As a consequence, when the subject of the present activity is far from his/her previous applications,an explanation(not more than 200 words) of your change of interest should be included.
Present field of interest (please indicate on the list below YOUR - TWO primary fields of interest, in order of priority, 1 and 2.) 10. PHYSICS OF CONDENSED MATTER 60. PHYSICS TEACHING 11. Solid State Physics 61. English 12. Atomic and Molecular Physics 62. French 13. Materials Science 63. Spanish 14. Surfaces and Interfaces 64. Arab 15. Statistical Physics 16. Computational Physics in Condensed Matter 20. PHYSICS OF HIGH AND 80. MISCELLANEOUS INTERMEDIATE ENERGIES 21. High Energy and Particle Physics 81. Others 22. Relativity, Cosmology and Astrophysics 82. Digital Communications 23. Plasma Physics and Computer Networking 24. Nuclear Physics 90. PHYSICS OF THE LIVING STATE 91. Neurophysics 92. Biophysics 30. MATHEMATICS 93. Medical Physics 31. Applicable Mathematics including: - Mathematical Ecology, - Systems Analysis, - Mathematical Economy, - Mathematics in Industry AO. APPLIED PHYSICS 33. Algebra 34. Geometry A1. Physics in Industry 35. Topology A2. Microelectronics 36. Differential Equations A3. Fibre Optics for Communications 37. Analysis A4. Instrumentation 38. Mathematical Physics A5. Synchrotron Radiation A6. Non-destructive Evaluation A7. Lasers 40. PHYSICS AND ENERGY AA. Applied Superconductivity 41. Physics of Nuclear Reactors 42. Physics of Controlled Fusion 43. Non-Conventional Energy B1. SPACE PHYSICS (Solar, Wind and others) 50. PHYSICS AND ENVIRONMENT 51. Solid Earth Geophysics 52. Soil Physics 53. Climatology and Meteorology 54. Physics of the Oceans 55. Physics of Desertification 56. Physics of the Atmosphere, Troposphere Magnetosphere, Aeronomy 57. Environmental Monitoring and Remote Sensing
Kindly supply (strictly within indicated lengths) a keyword description of your current scientific activities as follows: 1) Area of research (e.g. AlG> GEOM.) |________________________________________| (strictly no more than 15 letters) 2) Specific topic of interest (e.g. VANISHING THEOREMS) |_______________________________________________________________| (strictly no more than 30 letters)
List your scientific publications including books and articles (authors, title, Journal) in the period 1992-1999:
Kindly state any positions you hold in the scientific administration of your Institution or of the national scientific Institutions. It would be of assistance to the Selection Committee if this request for participation were accompanied by a letter of recommendation, especially for junior physicists.
Indicate below your proficiency in the English language Reading: Good /__/ Writing: Good /__/ Speaking: Good /__/ Average /__/ Average /__/ Average /__/ Poor /__/ Poor /__/ Poor /__/

APPLICABLE ONLY FOR CANDIDATES FROM DEVELOPING COUNTRIES (Important: Owing to limited funds, support for travel will be granted only in exceptional cases. Therefore, every effort should be made by applicants to secure support for their fare (or at least a partial contribution) from their home country). Request for Financial Assistance: (Please tick ONE box only) Full Travel + Subsistence /__/ Subsistence only /__/ Half Travel + Subsistence /__/ No financial support requested /__/ I certify that if granted funds for my travel by ICTP I will attend the whole activity Signature ........................................

I certify that the statements made by me above are true and complete. If accepted, I undertake to refrain from engaging in any political or other activities which would reflect unfavourably on the international status of the Centre. I understand that any breach of this undertaking may result in the termination of the arrangements relating to my visit at the Centre. ___________________________________________ ________________________________ Signature of candidate Date

TO BE COMPLETED ONLY BY ELIGIBLE YOUNG RESEARCHERS IN EUROPE
WISHING TO APPLY FOR A EUROPEAN COMMISSION GRANT

Do you or your research group hold a grant from which participation in the event could be funded? Yes /__/ No /__/ Have you applied for a grant for this purpose from any other body? Yes /__/ No /__/ If yes, what was the outcome of your application? I wish to apply for a European Commission grant to attend the event. I am requesting support for: (Please tick ONE box only) Half Travel + Subsistence /__/ Full Travel + Subsistence /__/ Subsistence only /__/ If requesting support for travel expenses, please also provide the information requested below. Estimated costs of travel to Trieste (using the most economical air or second class rail fare): From To Means of Transport Return/Single Cost ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- --------------------------------END OF APPLICATION--------------------------------------


Please report any problem on this page to zetto@ictp.trieste.it.

BACK to ICTP Mathematics Group - 2000 Activities
BACK to Mathematics Group Home Page