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REGISTRATION FORM ( Please fill in block capitals )
6TH ALL INDIA INTER ENGINEERING COLLEGE ACADEMIC MEET 2015
Presentation of Papers on 26th April 2015
at MCKV INSTITUTE OF ENGINEERING
243 G. T. Road (N), Liluah Howrah 711204 Phone: (033) 2654 9315/17, Fax: (033) 2654 9318
Website: http://www.mckvie.edu.in Organised by:
FORUM OF SCIENTISTS, ENGINEERS & TECHNOLOGISTS (FOSET) 15N, Nelli Sengupta Sarani (Lindsay Street),
New CMC Building (5th Floor), Kolkata 700 087 Phone: (033) 22529675, Fax: (033) 22520521
E-mail: [email protected] In association with:
MCKV INSTITUTE OF ENGINEERING
Paper Code No.:_________________________________
Name: Mr. / Ms . (First Name) (Middle Name) (Surname)
Name of Institute .:
Address .:
..
Phone (including STD Code) .
Fax (including STD Code) .
Mobile Phone Number (for contacting) ..
E-mail: .
Category ( ) Paper Presenter / ( ) Delegate/ ( ) Model Exibition Registration Fee (@Rs.150.00) [Exempted for Principal / Presenting Author] : by Cash / Cheque / DD No.:
(Signature of communicating author) Place: Date :
Countersigned by Head of the Department / Institute with seal