SSI CAD CAM EDUCATIONAL CENTRe

195/1, Balaji Nagar, Vilankurichi Road, Coimbatore-641035.

Phone: 0422-2209999, Cell: 96299 66673, 96299 66674
Email: info@ssicadcam.com Website: www.ssicadcam.com

PROJECT REGISTRATION DATE: …………… Reg. No: ………………....

Name of the Applicant : …………………………………… Cell No……………….…………………………………….

Permanent Address : …………………………………………………………………………………………….…

E-Mail 1 : ……………………….. ………. . E-Mail 2 …………………………………………………..….

College /Company Name: …………………………….… Degree &Dept: ………………………………………….……

Title of the Project : …………………………………………………………………………………………...…

You know about SSI through: Ad Friend’s

Total Amount Rs.18000 Initially paid Fully Paid

Manager Signature: Applicant’s Signature: