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ICST 2011

REGISTRATION FORM

1. Name :

2. Institution :

3. Designation :

4. Department :

5. Qualification :

6. Specialization :

7. Communication Address :

8. Accommodation (Required) :

9. Details of Registration Fee :

i) Amount :

ii) DD No. & Date :

iii) Name of the Bank :

10. Mobile No. :

11. E-Mail ID :

12. Paper name :

13. Paper ID :
Vel Tech Dr. RR & Dr.SR Technical University

INTERNATIONAL CONFERENCE ON SMART TECHNOLOGIES FOR MATERIALS, COMMUNICATION, CONTROLS,COMPUTING


AND ENERGY.

(5-7 JAN 2011)

Copyright form Paper Index No.

This is to certify that the work reported in the paper Titled:

• Is original work carried lout by the author(s)


• Has not been presented in any conference(s)
• Has not been submitted/published in any Journal/Proceedings of conferences and
• Is not under consideration by any Journal/Conference Organizers.

Signature:

(Name of Author 1) (Name of Author 2) (Name of Author 3)

(Note: Signature of the main author is mandatory and enough)

Place: Date:

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