Summer Outreach Programme in Mathematics (SOPM 2024)

National Institute of Science Education and Research

Bhubaneswar May 20--June 08, 2024

Application Form

(1) Name (in Block Letters):

(2) Name of your Institute:

(3) Present course of Study: B. Sc. 2nd year/ B. Sc. 3rd year

(4) Gender:

(5) Address for communication:

(6) Mobile/ Phone No. :

(7) E-mail address :

(8) Referee's Name (with designation and email address) :

(9) Subjects Studied :

(10) Academic Records (12th onwards) :

(Examination/ College, Year of Passing, % of Marks, % of Marks in
Mathematics)

(11) Write a paragraph about Mathematics research in your own words in a

separate sheet.

Place:

Date: Signature of the candidate