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Deenbandhu Chhotu Ram University of Science & Technology

Murthal, Sonepat (Haryana) -131039


Department of Electronics & Communication Engineering
Two Days TEQIP Sponsored National Conference
On

ADVANCES IN ELECTRONICS & COMMUNICATION TECHNOLOGIES (NCAECT-2015)


29th-30th January, 2015

REGISTRATION FORM
Name of participant:...
Gender: Male

Female

Name of affiliating organization: ..


Address for Correspondence: ...
..
Mob. No. E-mail: ..
Status of Participant:
1)

Outside Academia/Industries/Research Scholar/Student/Spouse/others

2)

DCRUST Faculty/ Research Scholar/ Student

Tick the appropriate option:

Interested for both attending the conference & as well as presenting the paper

Interested for attending the conference only

Details of Registration Fee:


Paper ID:
Title of the Paper: .
Cash Receipt No. .......
Date: .
Accommodation:
Accommodation required:

YES

NO

Date..

Signature of Applicant

Signature & Seal of Sponsoring Authority

Note: Please send the scanned copy of this form at ncaect2014@gmail.com and submit the original
form to registration committee on 29th January 2015.

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