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Registration%20form
1. STANI MEMORIAI, COT I E'GE OF ENGINEERING & TECHNOLOGY,
PTIAGI, JAIPUR
Organizes
z,od Annual National Conference on
futuristic Trends in Advancements of Science tt Technology
( NCtrTASII.2O14 )
REGrSltRAlIlroN I'ORM
1) Name
Title of the Paper:
Organ ization/l nstitution :
Qualification: ....... ..Designation
2) Address:
Resident
Official
Official- Phone: .^.....Mobile: .......... ...Email: ru tr
3) Category (mark r/ )
lndustrial Delegates
P.G. Students
Sponsored
Research Scholars
U.G. Students
tr
tr
4)Wish to have accommodation . Yes/No
5) Date & time of Arrival.. ..... Date & time of_Departure
6) Fee Details:
Demand Draft No: Amount: ........Dated:
Bank Name with Branch
Cash/DD payable at Jaipur in favor of "Principal SMCET" along with the filled Registration Form
can be send to the Convener and confirm participation by emailto ncftast2014@gmait.com
Date : Sign. of Participant