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PSNA COLLEGE OF ENGINEERING AND TECHNOLOGY, DINDIGUL624622

DEPARTMENT OF MECHANICAL ENGINEERING

INTERNATIONAL CONFERENCE ON
FUTURE TRENDS IN ENGINEERING AND TECHNOLOGY (ICFTET) 2015
APRIL 7TH & 8TH 2015
REGISTRATION FO R M
Name

: Prof/ Dr/ Mr/ Ms

Category

Name of the Organisation


Designation

:
:

Address for Communication

:
Phone

:
E-mail
:
Fax
:
Intend to
:
Present a paper

Participate

Student

Faculty

Industry

& Journal Publication


Title of the paper
:

Paper ID#
:
Accommodation Required
:
Yes/ No (will be arranged in
Hotel on prior payment)
Amount
:
Rs

:
DD. No.

Date

Bank Name

Crossed DD to be drawn in favour of The Principal, PSNA CET, payable at Dindigul.


Date :
Place:

Signature

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