ICICIC - 2012
One day Pre-Conference Workshop on
“HIGH PERFORMANCE COMPUTING”
(ICICIC 2012)
@PSG COLLEGE of Technology
In Collaboration with Juniper Networks
5th January 2012
REGISTRATION FORM
Name : ………………………………………………………………………………….
Designation : ………………………………………………………………………………….
Organisation : ………………………………………………………………………………..
Address : …………………………………………………………………………………
…………………………………………………………………………………….…
Telephone : ……………………………………………………………………….………..
Mobile :…………………………………………………………………………………..
Fax : ……………………………………………………………………………….
E-mail : ………………………………………………………………………………..
Accomadation Required : Yes/No
Fee Details : ………………………………………………………………………………..
Payment made through Swift Transfer
Transfer reference number : ……………………………………………..
Place,Bank from which the transfer made :………………………………………………
Date of Transfer :…………………………………………......
Any other please specify :
Date:……………….. Signature
Place:……………………
1.The Registration form to reach the Organizing Secretary on or
th
before 10 December, 2011.
2.Additional copies may be photocopied or downloaded from
www.psgtech.edu/icicic12