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Dr. 3. Sampath, Dr. K. Anbalagan, Dr. A. Subramania, Dr. P.Thangadurai, Dr. A. Vadivel Murugan, Dr. K. Suresh Babu, Dr. S. Kannan, Dr. K. Navamani, een ac CNET TOR el SRW el MORN RE el el ReLONY PONDICHERRY UNIVERSITY ral Uni ores .d with 'A' Grade by NAG) PUDUCHERRY- 605014. bap: wv:pondiun. edn’ workshop inanosciencelegistationform. doc CT) National Workshop on Nanoscience and Nanotechnology (NWNSNT-2016) March 3-5, 2016 Name (in Block Letters) Date of birth & Age Qualification Research Experience ifany) : Category : Faculty / Research Scholar / Student Department Address Mobile No. Email ld Accommodation Requirement : Amount Paid Rs... DDNo. Date: Name of the Bank (Drawn in favour of " The Convener, NWNSNT - 2016", payable at Puducherry-14.) DECLARATION The given information is true to the best of my knowledge. agree to abide by the rules and regulation governing the programme Place. Date: Signature of the Candidate ‘Address for Malling the Registration Form Dr. A. SUBRAMANIA, Convener, NWNSNT- 2016 Centre for Nanoscience and Technology Pondicherry University, Puducherry- 605014 Mobile; 9443110537, E-mil: a subramania(@gmail.com

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