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%%%%%%%%%%%%% SUMMER SCHOOL REGISTRATION FORM %%%%%%%%%%%%
%%%%%% please return to cmaoffice@maths.anu.edu.au %%%%%%%%%%%%%%%%%%
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Name:

Department/Institution:

Academic status:

Email:

Phone:

ACCOMMODATION in Canberra (check one):

( ) Please reserve accommodation for me at Burgmann College
    full board and lodging, shared facilities $295 per week
    Arrive:
    Depart:
( ) I will make my own accommodation arrangements
( ) I understand that the organizers have already taken care
    of my accommodation arrangements

Student Scholarship application (check if applicable):

( ) I wish to apply for a Travel Student Scholarship
    (travel + full board and lodging)
( ) I wish to apply for a Student Scholarship
    (full board and lodging)

    Student status (level and year):

    Please note that the deadline for Travel Student Scholarship
    and Student Scholarship applications is Wed October 31. The
    organisers will endeavour to support as many scholarships
    (of both types) as possible. However, they cannot guarantee
    supporting all applicants in this way. After October 31,
    participants may need to make their own arrangements.

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