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Registration form for NWSGTSE - 2017
A Two Day National Workshop on Smart & Green Technologies for Sustainable Energy - NWSGTSE - 2017
* Indicates required question
Name of the Participant (BLOCK LETTERS)(Mr./Ms./Mrs./Dr./Er.)
*
Your answer
Organization / Institute (Present Working or Studying) (Same will be printed on the certificate)
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Your answer
Designation
*
Your answer
Address for communication
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Your answer
Email ID
*
Your answer
Contact Number
*
Your answer
Workshop Fee Paid
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Rs.1500/-
Rs.1000/-
Rs.500/-
NOT PAID
If paid, Payment Details (Transaction No., Bank Name & Date of Payment) and mail payment receipt to
sudhakishore@kluniversity.in
Your answer
Do You require accommodation (Payment Basis)
*
Yes
No
If Accommodation required, Date and Time of Arrival & Departure
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Any other Information
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