SAEISS Dr G Padmanabham Memorial

Electric Two Wheeler Design Competition 2024

Registration Form
Team Name ELITE SQUAD

Team Captain Name VIGNESHWAR N

University/College Name JEPPIAAR ENGINEERING COLLEGE

University/College Address RAJIV GANDHI SALAI, CHENNAI 600119

SAEINDIA Membership
S. No Student Name E-Mail ID Contact Number Signature
ID

1 PARI PRATHOSH pariprathoshn@gmail.com Applied -waiting for ID 7639255409

N
2 KISHANTH M Mkishanth63@gmail.com Applied -waiting for ID 6382821112

3 DINESH T dineshmaran64@gmail.com Applied -waiting for ID 6380151670

4 VIGNESHWAR N vigneshnaga04@gmail.com Applied -waiting for ID 9367644447

5 SETHUPATHI P rameshsethupathi2002@gmail.com Applied -waiting for ID 6369283994

6 VISHNU N vishnunarayanan9585@gmail.com Applied -waiting for ID 9342059116

7 KRISHNA KUMAR K krishnakumar2882004@gmail.com Applied -waiting for ID 9940286267

8 HARIHARN S hariharansukumar04@gmail.com Applied -waiting for ID 7200491225

9 NITHISH BALAJI E.S nithishbalaji345@gmail.com Applied -waiting for ID 6382582713

10 AGNES VINOLIYA S agnesvinoliya95@gmail.com Applied -waiting for ID 9342348715

Faculty Advisor Details
SAEINDIA
S. No Name E-Mail ID Contact Number Signature
Membership ID
1 PURUSHOTHAMAN M purushothaman@jeppiaarcollege.org 7180410341 9789904374

Signature
Head of the Institute with college seal
Note:
1 Team Size: Maximum of 10 members.
2 Registration Fee: Rs. 20,000(inclusive of 18% GST) per team
3 College GST Number should be mentioned at back side of registration form

Mode of Payment:
Demand Draft (DD) shall be drawn in favour of SAEINDIA SOUTHERN SECTION, Payable at Chennai,/ NEFT /Internet Banking payment etc

ACCOUNT NAME SAEINDIA SOUTHERN SECTION

ACCOUNT NUMBER 38517580801

BANK STATE BANK OF INDIA

BRANCH GUINDY, CHENNAI

IFSC CODE SBIN0000956

"Students are requested to send the DD along with the hard copy of filled registration form by courier to below address, the scanned copy of
DD, if net banking copy of online transaction receipt and filled registration form shall be mailed to etwdc@saeiss.org"

Address
ETWDC Coordinator
SAE INDIA Southern Section
Module 29-30, Block I, SIDCO Electronic Complex,
Thiru-Vi-Ka Industrial Estate, Guindy,
Chennai, Tamil Nadu – 600 032.

Phone: 044 4218 8652/53

E-mail Id: etwdc@saeiss.org

Website: www.saeiss.org