LMS Prospects in Mathematics 2013

Application Form


Personal information
Title:
Surname:
First name(s):
Date of birth: (for identification only -- not an acceptance criterion)
Email: (please use your university email if possible)
Phone number:
Address:
Town/city:
Postcode:
Are you normally resident in the UK (other than for University):

Academic records
Are you currently a:
University:
Course: (eg, BSc or MMath)
Current year:
Length of course:
Last year's result: (as percentage, not degree class)
Modules taken this year:
Modules taken last year:

Reference Please nominate an academic tutor we may contact if needed.

Title:
Surname:
First name:
Institution:
Email:

Conference Are you considering doing a PhD in mathematics:

Areas of interest (if known):

Any other comments:


To apply to attend the conference, please