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http://www.iitg.ernet.in/spie/registration.

php

Feel the Light- on Optics Outreach


6th February, 2016
Your Application Reference Number is : 1454137835-784662976
Name of the School/College/University: *

COTTON COLLEGE

Address of the School/College/University: *

PANBAZAR GUWAHATI-01

Name of the representative person (if any):


Designation of Representative:
Contact Email *
Phone No.

roysoumyadeep2013@gmail.com

8761045073

No. of Participants (Including students representative person, if any): *

Applicant Details: :

Sl.
Name of Participant
No.

Class/ Standard

Contact No.

Registration Type**
(only participation/
quiz)

1.

BIKASH KALITA

B.Sc 2nd Semester

8876576313

Only participation

2.

NABAJYOTI PANDIT

B.Sc 2nd Semester

8402073936

Only participation

3.

SIMANTA DAS

B.Sc 2nd SemesteSc 2nd Semester


9085635189

Only participation

4.
5.
6.
7.
8.
9.
10.
N.B. (1) Same form can also be used for individual application.
(2) Maximum two groups (two participants in a group) from each institute for the quiz competition is allowed.
(3) No travelling allowance will be provided to the participants.
(4) All attendees to the event must register.
Signature of HOD/Principal
Date :
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Saturday 30 January 2016 12:47 PM

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