Course details ... Registration form

You can also copy the below registration form (including the Event Title), paste into your word editor, with a half inch margin around to print out. Or Download announcement (pdf).

3-day Short Course on

Design for Testability – Theory and Practice

July 27-29, 2006

Hotel Fortune Katriya, Hyderabad

Organized by VLSI Society of India

http://vlsi-india.org/

In cooperation with:

  

C-DAC Hyderabad and IEEE TTTC

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:

 

Academic/governmental organization from India (Non-VSI)

Member of:

Membership No:

Academic/governmental organization from India (VSI/ IEEE member)

VSI/ IEEE Membership No:

If you are a student, mention Semester/Year:

Contact Address:

(Provide permanent mailing address)

Designation: Student   Faculty   Industry   Other  

College/ Company:

Permanent address:

 

 

 

E-mail:

(Compulsory)

 

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 also e-mail the details of payment 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 “3-day Course on Design for Testability – Theory and Practice, Bangalore” to avoid confusion.

·          Partial registration is not permitted. Processing fee of Rs.1000/= will be charged against cancellation.

·          Queries may please be sent to: vsisecy@vlsi-india.org

·          Seats are limited to 50. Spot Registration against cancellations, and strictly by cash payment.

·          Venue: Hotel Fortune Katriya, Hyderabad

Note:

·          Course fee includes registration material, vegetarian lunch and refreshments on all the days.

·          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 on Day-1 at 8.30 AM, Course on all days from 9.00 AM to 6.00 PM.

·          DD Acknowledgement through mail confirms registration.

Course details ... Registration form
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