GTEM SUMMER SCHOOL
GEOMETRY AND ARITHMETIC OF MODULI SPACES OF COVERINGS 
09-20 JUNE, 2008, GALATASARAY UNIVERSITY, ISTANBUL

APPLICATION FORM
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FIRST NAME:     
LAST NAME:     
GENDER:
DATE OF BIRTH:

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E-MAIL:
FAX:
POSTAL ADDRESS:

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INSTITUTION AND POSITION:
RESEARCH INTERESTS:

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REFERENCE (FOR STUDENTS)
PLEASE WRITE NAMES AND E-MAILS OF TWO PERSON WHO WILL GIVE US INFORMATION ABOUT YOU.
1)
2)

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FINANCIAL SUPPORT REQUEST:

DO YOU BELONG TO THE GTEM NETWORK?

(IF YOU ARE FROM A TURKISH UNIVERSITY)
DO YOU APPLY FOR TUBITAK SUPPORT?

ARRIVAL-DEPARTURE DATES:
DO YOU REQUEST A HOTEL RESERVATION?
DOUBLE/SINGLE?

YOUR COMMENTS:

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AFTER FILLING THIS FORM, PLEASE SEND BY E-MAIL TO THE ADDRESS 
gamsc.school@gmail.com