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3rd National Conference on

Advances in Energy Conversion Technologies (AECT 2009)

April 2 - 4, 2009
Dept of Electrical & Electronics Engg,
Manipal Institute of Technology, Manipal University,
Manipal 576 104, Karnataka, INDIA

Registration Form
Name :
Designation :
Department :
Institution / Organisation :
City with Pin Code :
Phone with Code : (L) (M)
Email :
Pre-Conference Tutorials Conference Delegate
Registration Fee Details
Demand Draft no: __________ dated: _________
Payment Details Total Amount: _________ (Add Rs. 100 if attending Pre-Conference Tutorials)
Bank: _________________________ Payable at: Manipal Udupi
Accommodation Required Not Required

I hereby declare that I shall follow the rules and regulations pertaining to AECT 2009 on
being given the opportunity to participate in the conference.

Date: Delegate Name & Signature

Note: Incomplete forms will not be accepted