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FUTURA An ISO 9001:2000 Certified Event
FUTURA
An ISO 9001:2000 Certified Event

REGISTRATION FORM

FUTURA ID

:

BITF50184

NAME

:

S.Samuel Jacob Karunakaran

DEPARTMENT

: Information Technology

COLLEGE NAME

: Narasus Sarathy Institute Of Technology

EMAIL ID

:

samjacob91@gmail.com

PHONE NO

:

9500550225

REGISTRATION FEE FOOD AND ACCOMODATION

FOR TWO DAYS :Rs .350/-

Draft No:

Bank Name

Participating Competitions

Paper Presentation

Events

KINOCION

FLASHOP

CRYPTEX

TECHY TRACK

STUDENT

PRINCIPAL\HOD

1.

Futura kit will be provided for all the participants who have registered. The kit contains the event details and goodies. Goodies include T-shirt, eco- friendly bag,pen,scribble pad, etc.

2. Participants are requested to duly fill the above form and send it along with the DD in favour

"THE PRINCIPAL,Bannari Amman Institute of Technology" below to the following address THE PRINCIPAL,Bannari Amman Institute of Technology, Sathyamangalam PIN-638401