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Registration Form

1. Name (in capital): J.Gnana Arun Johnson


2. Designation: Assistant Professor
3. Qualification: M.E(Applied Electronics)
4. Department: E.C.E
5. Professional Experience (in Years)
Teaching: 3.3Years
Industrial: Nil
6. Address of the College/Institution: Vel Tech Dr.RR & Dr.SR Technical University
#42, Avadi-Vel Tech Road,
Avadi, Chennai-600062,
Tamil nadu, India.
Phone: 044-268411601, 26840896/869/249.
7. Research interest: Wireless sensor Network
8. Phone(Office):
(Mobile): +919962347122
9. E-Mail:arunjohnson12@gmail.com
(Please include a brief profile of your area of research along with this)

I hereby declare that all the details furnished by me are true to the best of my knowledge.
Place: Chennai
Date:

Signature of the Participant

Signature of the HOD/Principal With seal


Registration Form

10. Name (in capital):


11. Designation:
12. Qualification:
13. Department:
14. Professional Experience (in Years)
Teaching:
Industrial:
15. Address of the College/Institution:

16. Research interest:


17. Phone(Office):
(Mobile):
18. E-Mail:
(Please include a brief profile of your area of research along with this)

I hereby declare that all the details furnished by me are true to the best of my knowledge.
Place:
Date:

Signature of the Participant

Signature of the HOD/Principal With seal


Registration Form

19. Name (in capital):


20. Designation:
21. Qualification:
22. Department:
23. Professional Experience (in Years)
Teaching:
Industrial:
24. Address of the College/Institution:

25. Research interest:


26. Phone(Office):
(Mobile):
27. E-Mail:
(Please include a brief profile of your area of research along with this)

I hereby declare that all the details furnished by me are true to the best of my knowledge.
Place:
Date:

Signature of the Participant

Signature of the HOD/Principal With seal


Registration Form

28. Name (in capital):


29. Designation:
30. Qualification:
31. Department:
32. Professional Experience (in Years)
Teaching:
Industrial:
33. Address of the College/Institution:

34. Research interest:


35. Phone(Office):
(Mobile):
36. E-Mail:
(Please include a brief profile of your area of research along with this)

I hereby declare that all the details furnished by me are true to the best of my knowledge.
Place:
Date:

Signature of the Participant

Signature of the HOD/Principal With seal

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