3. INTAKEÂ
Â
Participatio
on will be limmited to a m
maximum of f twenty (on a first come e first serve basis). Any and allÂ
in the creaative field in
ncluding designers, architects, mana agers, design n professionnal, retailerss, otherÂ
professionals and stu udents can benefit from this program. Othe desiring to increase theirÂ
ers eÂ
sensitivity and creativity are also w
welcome. All l that is need
ded is an open mind.Â
Â
FEEÂ &Â REGISTRATIONÂ
Â
` 10, 000/ââ [Nonâresidential, includes Service Tax, Worksh hop Registra ation fee, Lunch and one e set ofÂ
material onnly] to be paaid by Dema and Draft/ Pa ay Order bef fore one we eek of the pr rogram in fav vour ofÂ
NATIONAL INSTITUTE O OF DESIGN, payable at A Ahmadabad. .Â
Kindly sen in your nominations on your c
nd n s company let tterhead inddicating Nam me/s, Designation,Â
Address, Phone No, Fa ax No, and Emmail Id of the nominees along with t the fee to: Â
Â
Projeect OfficerÂ
Industry Program mmes & Proj jects (IP&P)
 Â
Â
Paldi, Ahmedaba ad 380 007
Telepphone:Â 91â7 79â2662Â 3692 2Â â7Â (6Â lines)
) ext 1068, 11199Â
Mr. MMansukh Pa atel: 0942632 29633, Ms. R Rupali Sinhaa: 093281365 526Â
Fax:Â 91â79â26621167Â /Â 2660 05240Â
Eâma ail:Â industryp
programmes s@nid.edu, i ipp@nid.edu uÂ
Â
CERTIFICAT TION:Â
Â
AÂ certificat
te of particip
pation will bee presented to the parti icipants.Â
4. Paldi, Ahmedabad 380 007
Tele: +91-79-2662 3692 - 97 (6 lines) ext 1068/1199
Fax: +91-79-2662 1167 / 2660 5240
E-mail: ipp@nid.edu, industryprogrammes@nid.edu Web: www.nid.edu
Industry Programmes and Projects (IP&P)
REGISTRATION FORM
Kindly fill up the form in CAPITAL LETTERS.
Send the demand draft / pay order along with the filled in registration form to:
The Programme Officer
Industry Programmes and Projects (IP&P) Please affix Passport size
Photograph here
NATIONAL INSTITUTE OF DESIGN (NID), Paldi, Ahmedabad 380 007
Amount ________________________ Cash/Cheque/D.D.No. __________________
Name of Bank ____________________________________ Date ________________
Participantâs Detail
Workshop Name ___________________________________________________________________________
Name of the Participant: Mr. / Ms. ______________________________________________________________
Designation/ Student ________________________________________________________________________
Sponsored by (Compulsory to tick ) Institute Organization Self
Organization/ Institute ______________________________________City_______________________________
Address (Residence/ Office) ___________________________________________________________________
__________________________________________________________________________________________
Male / Female________________________ DOB _________________________ AGE ___________________
Telephone No._________________________Mobile________________________ Fax ____________________
E-mail ____________________________________________________________________________________
How did you come to know of the Workshops: Website___ Poster___ Newspaper___ Via Friend __ Via Email___
Mode of payment : Non- Residential Registration Fees ( Includes Workshop Registration fee, Lunch & one set of material
only, Service Tax) to be paid by Demand Draft/ Pay Order before one week of the program in favour of
NATIONAL INSTITUTE OF DESIGN, payable at Ahmedabad.
(One can use photocopies for additional nominations.)
ÂťNID reserves the right to cancel the programme and will refund the participants fee in such case. However if the
candidate cancels his registration before one week then 90% fee will be refunded.
For Office Use only
Regi. Fee Received through Cash __________ DD / PO No.____________ Dated: _________________
Participant No._______ Bank ________________________________________
Stamped Receipt No./ Dt.:________________________