NATIONAL WORKSHOP ON

RECENT TRENDS IN RF TECHNOLOGIES

(26- 27 February, 2011)

Registration form

1. Name:________________________________

2. Designation(tick the applicable) :

Student Academician Industry personnel

3. Address:____________________________________________________________________________________________
____________________________________ City _________ Pincode: ___________

4. Phone no:_______________ email:___________________________________

5. Are you IEEE member? (yes/no)_______. If yes specify the membership no.______________.

6. Draft details:

Demand draft no.____________ Dated___________ Issuing bank____________________________payable at

Punjab national bank, RTU, Kota for ___________in favour of IEEE student chapter, UCE, RTU, Kota.

Date: Signature:

Note:
1. Certificates would be given to all the participants.
2. The completely filled form and DD should be sent to below given postal address.
3. Please mention your contact number on mailing envelope.
4. For any queries email us at uce.ieee@gmail.com, or contact at +91-9950685829, +91-9928875310.
5. Last date of receiving of complete form is 20 February 2011.

Mailing address:
Mithilesh Kumar,
Deputy Counselor, IEEE-MTTS SBC
Electronics Engineering Department, Rajasthan Technical University,
Akelgarh, RawatBhata Road, Kota (Rajasthan)-324010