You are on page 1of 1

M.P.NACHIMUTHU M.

JAGANATHAN ENGINEERING COLLEGE An ISO 9001:2008 Certified Institution DEPARTMENT OF ELECTRICAL AND ELECTRONICS ENGINEERING CHENNIMALAI, ERODE-638 112 & IEEE STUDENT BRANCH 3rd One- Day National Conference on Innovation in Electrical & Electronics Engineering IEEE 11 21st January 2011 REGISTRATION FORM Title of the paper Name of the Participant(s) with Designation (Two author per paper) : : 1. 2.

Address for Communication :

Registration Category
Students

: :

Industrial & Academic / Research Scholar / PG

E-Mail ID Phone Demand Draft Details

: :

Amount : DD No & Date : Name of the Bank & Branch : Accommodation Required Date : Place : Signature Note: The registration fee is to be paid through DD in favour of The Co ordinator, Department of EEE, payable at Chennimalai.(Indian Bank, State Bank of India,Canara Bank) : YES / NO (Nominal charges are applicable)

You might also like