DHIRAJLAL GANDHI COLLEGE OF TECHNOLOGY

(Approved by AICTE, NEW DELHI & Affiliated to ANNA UNIVERSITY, CHENNAI)

Opposite Salem Airport | Sikkanampatty | Omalur | Salem-636309.

National Conference on
Engineering Applications for Developing Smart cities (NCEADS)
DAY 2 REGISTRATION FORM (FORM B)
Paper / Poster Presentation / Events / Workshops

Candidate Name &

Registration No. Department

Date of Birth & Year/Section

Category PG Female
(Tick Appropriate) Gender
UG Male

Institution Name & Address

with Pin code

Participating Events Paper Presentation Poster Presentation

(Tick Appropriate)
CODE GURU(CODE Design) THUNDER SNAPS (Photography)

CIRCUITRIX (Circuit Design) CASH TRASH (Collage)

MECHTREK (Machine Design) BRAND LIA (Tech Marketing)

STONE BRIDGE (Building Design) WONDER SPY (Treasure Hunt)

TWEAK FLUSTER (Quiz) MASTER MIND (Mathematics)

Author Name & Phone

(If applicable)

Paper Title E-mail

Alternate
E-mail

Names & Affiliation of All

Authors

Transaction No. Bank Name &

Branch Name
Transaction Date Amount (Rs.)

Workshop Interested CIVIL CSE ECE/ EEE Mech General

Signature of the Participant

Note:
 Send Scanned copy of Form B, Copy Right, Originality form & Payment Challan to
conf_2015@dgct.ac.in and bring Originals at the time of Conference.
 Only registered Participant/Author receives Kit/Materials/Certificates.
 Each Participant must register individually (Group event also requires individual registration).
 One Registration per Candidate is sufficient for participating any events.
 Students without Valid College ID card will not be permitted.
 Judges decision will be final and binding for all the events.