Course details ... Course content ... Registration form
| One-day
  Course on Circuit Marginalities Dealing with VLSI Design
  and Circuit Marginalities during TestAugust 1, 2006, Kolkata, IndiaVenue: The SENATOR Hotel | |
| Organized by VLSI
  Society of India  | In cooperation with:    IEEE
  TTTC Kolkata Chapter | 
REGISTRATION
FORM
|   Name of the participant: 
   
 (Please use block letters. The certificate will be made
  in this name) | ||||||||||||||||||||||||||||||||
| Category: Tick appropriate   | Industry Member  (Non-VSI) | 
 | Member of:   | Membership No: | ||||||||||||||||||||||||||||
| VSI/ IEEE member   | 
 | VSI/ IEEE Membership No: Membership expiry date: | ||||||||||||||||||||||||||||||
| Academic/governmental organization from India (Non-VSI) | 
 | Member of: | Membership No: | |||||||||||||||||||||||||||||
| Academic/governmental organization from India (VSI/ IEEE
  member) | 
 | VSI/ IEEE Membership No: Membership expiry date: | ||||||||||||||||||||||||||||||
| If you are a student, mention Semester/Year: | ||||||||||||||||||||||||||||||||
| Contact Address: (Provide permanent mailing address) | Designation: Student  College/ Company: Permanent address:   | |||||||||||||||||||||||||||||||
| E-mail: (Compulsory) (also provide alternate mail id) |   | |||||||||||||||||||||||||||||||
| Background in VLSI:
  (Courses/Reading/Projects) |   | |||||||||||||||||||||||||||||||
| Details of DD enclosed   | DD Number |   | ||||||||||||||||||||||||||||||
| Drawn on Bank |   | Dated |   | |||||||||||||||||||||||||||||
| Your background and expectations from the workshop:         Signature | ||||||||||||||||||||||||||||||||
| After completing the registration form, mail it with the
  DD to the following address: Mr. Gopal Naidu Treasurer, VLSI Society of India Finance
  Department Texas
  Instruments (India) Pvt Ltd Bagmane
  Tech Park C.V.
  Raman Nagar, Bangalore 560093 Please e-mail the details of payment to vsiaccounts@vlsi-india.org and copy to vsisecy@vlsi-india.org. | ·         
  Please make the DD to “VLSI
  Society of India” payable at Bangalore.  ·         
  On the back of the DD, please
  write “1-day Course on Circuit Marginalities, Kolkata” to avoid
  confusion.  ·         
  Cancellation requests must be
  received at least 2 weeks in advance. A processing fee of Rs.1000/= will be
  charged against cancellation made 2 weeks in advance. No refund will be made
  on cancellations made later. ·         
  Substitute participants are
  permitted only if intimation is provided 2 weeks in advance. ·         
  Queries may please be sent to: vsisecy@vlsi-india.org ·         
  Seats
  are limited to 50. Spot Registration is strictly by DD or cash payment. ·         
  Venue: The SENATOR Hotel, Kolkata | |||||||||||||||||||||||||||||||
| Note: | ·         
  Course fee includes registration material, lunch and
  refreshments. ·         
  VSI/ IEEE Members must have renewed membership to be
  eligible. ·         
  Transport and stay arrangements are the responsibility of
  the participants. ·         
  Registration can be transferred to a colleague with
  intimation 15 days prior to the event. ·         
  Registration begins at 8.30 AM, Course schedule is from
  9.00 AM to 5.00 PM. ·         
  DD Acknowledgement from VSI through mail confirms
  registration. | |||||||||||||||||||||||||||||||
Course details ... Course content ... Registration form
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