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					                 TECHNEX’10 Registration Form
Name:

Designation:

Organization:

Address :




Telephone No:

Mobile:

E-mail:

                            EVENTS

   Paper Presentation

   Poster presentation

   Robo Club

   Quiz

   Short Films

   LAN Gaming

   Spot Events




  A National Level Technical symposium On 24th, 25th Sep. 2010
                TECHNEX’10 Registration Form


Amount in Rs:

IEEE/CSI/ISTE Membership
No:

                    REGISTRATION FEE DETAILS


DD NO :

Date

Amount

Bank




                    DD should be drawn in favor of
                IETE Chapter,CM Engineering College
                      Payable at SBH, Dhulapally.




                            Signature of the Applicant

                                                           Passport Size
                                                         Photo should Affix
                                                               Here




  A National Level Technical symposium On 24th, 25th Sep. 2010

				
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