AICTE QIP Sponsored RTROCE – 2018

A Two week Faculty Development Programme on

Recent Trends & Research Opportunities in Civil Engineering Field

REGISTRATION FORM

Name __________________________________________________________________  Male  Female

Designation and Department ______________________________________________________________________

Address of the institution_________________________________________________________________________

Mobile number _________________________ E mail _______________________________________________

Weather accommodation required _______________________ (Yes or No)

*Please kindly note that the accommodation will be provided only in the students hostels.

Registration payment Details:

Amount paid in Rs.______________ Demand Draft No_____________________ Dated______________________

Name of the Bank and Branch ____________________________________________________________________

(DD should be drawn in the favour of “RTROCE-2018” payable at Karaikudi)

Declaration:
The details furnished above are true to the best of my knowledge. I agree to abide by the rules and regulations
governing the course. If I am selected, I shall attend the course fully for the entire duration.

Date: Signature of the Applicant

Recommendation from the Institute

Mr/Ms/Mrs/Dr................................................................................... is a faculty/research scholar of our

Institution/Organization and has been recommended hereby to attend the Two week Faculty Development
Programme to be held at ACGCET Karaikudi, Tamilnadu from 19 th November to 30th November 2018.
He / She will be permitted to attend the FDP fully for the entire duration, if selected.

PLACE : Head of the Institution with Seal

This form should be uploaded in the website - https://sites.google.com/view/rtroce18