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 |
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Sponsored by VLSI Society of India
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Organized by: Dept of ECE, VNR-VJIET, Hyderabad
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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) |
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Member
of: |
Membership
No: |
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VSI/
IEEE member |
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VSI/
IEEE Membership No: |
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Academic/governmental
organization from India (Non-VSI) |
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Member
of: |
Membership
No: |
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Academic/governmental
organization from India (VSI/ IEEE member) |
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VSI/
IEEE Membership No: |
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If
you are a student, mention Semester/Year: |
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Contact
Address: (Provide
permanent mailing address) |
Designation: Student College/
Company: Permanent
address: |
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Telephone/
s |
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Mobile |
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E-mail:
(Compulsory) |
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Background
in VLSI:
(Courses/Reading/Projects) |
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Details
of DD enclosed |
DD
Number |
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Amount: |
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Drawn
on Bank |
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Dated |
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Your
background and expectations from the workshop: Signature |
Recommendation
of Sponsoring Authority
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Date: |
Signature |
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College
/ Industry Seal |
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Sponsoring Authority |
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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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