Seminar

On
"VLSI Algorithms"
under
Technical Education Quality Improvement Program (TEQIP II)
From August 09, 2016 to August 12, 2016
Organized By: Department of Computer Science & Engineering
REGISTRATION FORM
1. Name (Block Letters):
2. Designation:
3. Organization:
4. Address for Communication:
5. Email (mandatory):
6. Phone (mandatory):
7. Highest Qualification:
8. Food Preference (Veg/ Non-veg):
9. DD No. & Name of the bank:
I wish to be registered for the 4-day Seminar on "VLSI Algorithms" under TEQIP-II at
Heritage Institute of Technology, Kolkata from 09 August to 12 August 2016.

Date:

Signature of the Applicant

SPONSORSHIP

Prof./Dr./Mr./Mrs./Miss____________________________________________________is an employee of
our institute. The applicant will be permitted to attend the Seminar on "VLSI Algorithms" under TEQIP-II
at Heritage Institute of Technology, Kolkata from 09 August to 12 August 2016.

Date:

Signature of Head of Department /Institution

Designation:
Official Seal: