Bernard Bolzano Endowment Fund
Ke Karlovu 3, 121 16 Praha 2

Application Form for the BB EF Competition for the Best Scientific Work in Physics, Mathematics, and Computer Science of the year 2025

Name:			           Surname:                                                  Academic title:
Date of birth:
___________________________________________________________________________
Department:
___________________________________________________________________________Phone number:				Email: 

Competition field:	
Title of submission:
	
Published or accepted for publication (please give citation):
	
Description of submission:

	
Date, signature: