Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

REGISTRATION FORM

( Please fill in block capitals )


6TH ALL INDIA INTER ENGINEERING COLLEGE
ACADEMIC MEET 2015
Presentation of Papers on 26th April 2015
at
MCKV INSTITUTE OF ENGINEERING
243 G. T. Road (N), Liluah Howrah 711204
Phone: (033) 2654 9315/17, Fax: (033) 2654 9318
Website: http://www.mckvie.edu.in
Organised by:
FORUM OF SCIENTISTS, ENGINEERS & TECHNOLOGISTS (FOSET)
15N, Nelli Sengupta Sarani (Lindsay Street),
New CMC Building (5th Floor), Kolkata 700 087
Phone: (033) 22529675, Fax: (033) 22520521
E-mail: foset@rediffmail.com
In association with:
MCKV INSTITUTE OF ENGINEERING
Paper Code No.:_________________________________
Name: Mr. / Ms .
(First Name)

(Middle Name)

(Surname)

Name of Institute .:
Address .:
..
Phone (including STD Code) .
Fax (including STD Code) .
Mobile Phone Number (for contacting) ..
E-mail: .
Category

) Paper Presenter / (

) Delegate/ (

) Model Exibition

Registration Fee (@Rs.150.00)


[Exempted for Principal /
Presenting Author] :
by Cash / Cheque / DD No.:
(Signature of communicating author)
Place:
Date :
Countersigned by Head of the
Department / Institute with seal

You might also like