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REGISTRATION FORM

AICTE SPONSORED
NATIONAL SEMINAR ON
Advances in Composite Materials (ACM-2017)
20 -21th, April 2017

1. Name :

2. Designation :

3. Organization :

4. Mailing Address :

Ph.No.

E.mail :

5. Whether accommodation is required: YES/NO

6. Demand Draft Details:

Number: Bank:

Amount: Date:

(Demand draft to be drawn infavour of Principal, R.V.R. & J.C. College of Engineering,
and Payable at ChowdavaramBranch,Andhra bank,)

(Signature of Applicant)

I recommend his/her participation in the course

Signature

(Head of the Institute/organization with seal)

Station : Date:

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