Course details ... Registration form
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| Short Term Intensive Course on DFT for Digital
  Design   4th –6th September 2006 VNR Vignana Jyothi
  Institute of Engineering and Technology, Hyderabad | |
| Sponsored by VLSI Society of India 
 | Organized by: Dept of ECE, VNR-VJIET, Hyderabad
 | 
REGISTRATION
FORM
|   Name
  of the participant:   
 (Please
  use block letters. The certificate will be made in this name) | 
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| 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: | 
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| Contact
  Address: (Provide
  permanent mailing address) | Designation: Student  College/
  Company: Permanent
  address:     | |||||||||||||||||||||||||||||||||||
| Telephone/
  s |   | Mobile |   | |||||||||||||||||||||||||||||||||
| E-mail:
  (Compulsory) |   | |||||||||||||||||||||||||||||||||||
| Background
  in VLSI:
  (Courses/Reading/Projects) |   | 
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| Details
  of DD enclosed   | DD
  Number |   | Amount: |   | ||||||||||||||||||||||||||||||||
| Drawn
  on Bank |   | Dated |   | |||||||||||||||||||||||||||||||||
| Your
  background and expectations from the workshop:           Signature | Recommendation
  of Sponsoring Authority | |||||||||||||||||||||||||||||||||||
| Date: | Signature  | |||||||||||||||||||||||||||||||||||
|         College
  / Industry Seal       | ||||||||||||||||||||||||||||||||||||
| Sponsoring Authority | ||||||||||||||||||||||||||||||||||||
| After
  completing the registration form, mail it with the DD to the following
  address: M. Srinivasa Rao Associate Professor, Dept. of ECE Bachupally, (Via) Kukatpally Hyderabad - 500 072. Tel.: 040-23042758/59/60 Fax: 040-23042761 Please
  e-mail the details of payment to | 
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| Note: | 
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Course details ... Registration form
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