AJAY KUMAR GARG ENGINEERING COLLEGE

DEPARTMENT OF ELECTRONICS AND COMMUNICATIONS ENGINEERING

CONFERENCE ON EMERGING TRENDS IN MOBILE COMMUNICATIONS
(March 15-16, 2013) REGISTRATION FORM Name of Participant _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ Educational Qualification: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ Name and Address of College: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ Title of the Paper: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ E-mail: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ Contact nos.: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ Signature of Participant: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ Registration Fee: Rs.1000 per person*; Rs.500 for M.Tech and B.Tech students Draft No. : ...................dated _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ Bank Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ Draft to be in the name of Ajay Kumar Garg Engineering College, payable at Ghaziabad
(*A discount of 20% on individual delegate-fees of Rs.1000/- is applicable for two or more delegates from the same college).

Please mail the completed registration form along with draft to:
Prof. P. K. Chopra (9350 023 027, 9868 041 558) Conference Coordinator Head, Department of Electronics and Communications Engineering Ajay Kumar Garg Engineering College 27 km Stone, Delhi-Hapur Bypass Road, NH-24 P.O. Adhyatmik Nagar Ghaziabad 201009 UP (Near Dasna Rail Crossing)