This information may be submitted electronically.
REFERENCE Applicant's name: ................................................ Level of accreditation: .......................................... I, the undersigned, support the application for accreditation and assert that the details supplied are accurate, to the best of my knowledge. Name: ................................... Signature: ................ Address: ............................................................ ......................................... Postcode: ................. Phone (Work): ................ Fellow/Member of the Society since: ................................. OTHER INFORMATION that may be useful to the Accreditation Committee ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... ..................................................................... .....................................................................
Return to Australian Math. Soc. home page.
Any suggestions, complaints etc about this site should be sent to the editor, Ian Doust web@austms.org.au Last update: 24/02/00