ࡱ> 9 =bjbj 5Khh{nnnnn8,2(""DDD---$ n- "---nnDDuuu-FnDnDu-uuuD@1J6spu02u"!^"!u"!nu(--u-----A4---2----"!---------X 4:  Department of Statistics Application for visiting researchers Date of application Please indicated the member of staff with whom you wish to be affiliated:  Contact details TitleSurnameOther namesNationalityDate of birthCurrent positionInstitution and department Address for correspondence Telephone numberEmail address Timing of visit Proposed start dateProposed end date Continued on next page Research plan Please summarise your reasons for applying for a research visit  Please summarise the contribution you expect to make during the period of your visit  Please describe your research plan for your visit  Financial support Do you have adequate funding to cover your travel, living expenses and research costs?YesNo Please outline the source of your funding  Continued on next page English language Is English your first language?YesNo If NO, please indicate the level of your English language skills  Further information Please use this box for any additional information that might be relevant to your application  Please submit this application and a copy of your current Curriculum Vitae to: Penny Montague Research and Finance Manager Email:  HYPERLINK "mailto:p.montague@lse.ac.uk" p.montague@lse.ac.uk /  HYPERLINK "mailto:statistics.research@lse.ac.uk" statistics.research@lse.ac.uk     Ӱ̳ Department of Statistics: application for visiting fellows PAGE  PAGE 3 Issued: November 2010 CDEFG[\]^_tm`hShF56\] hF6]hhF6CJ]aJhZhF6CJ]aJhFCJaJhhFCJaJhZhFCJaJhF5CJ\aJ hF5\hZhF5CJ\aJhZhF5\hZhF5CJ$\aJ$ hF5CJ$OJPJQJ\aJ$jhFU%DEFG[\$If xx$If \]^_ussi xx$Ifkd$$Ifl0 &$ [  t 0644 lap $Ifwkd$$Ifl&&  t 0644 lap $If xx$IfjkdB$$Ifl&& t0644 laytFuke$If xx$Ifkd$$Ifl0 &$ [  t 0644 lap uke$If xx$Ifkdk$$Ifl0 &$ [  t 0644 lap uke$If xx$Ifkd $$Ifl0 &$ [  t 0644 lap     - . / 0 K L M N O P Q R S d e f t u v w x     ! 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