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Self-Sponsored Chief-Patron
Short Term Training Program (STTP) on Short Term Training Program
Prof. Sudarshan Tiwari
Director, NIT Raipur on
“MACHINE LEARNING”
Patron “MACHINE LEARNING”
28 August to 01 September, 2017 Prof. S. Sanyal
Dean (R&C), NIT Raipur 28 August to 01 September, 2017
REGISTRATION FORM FORMAT
(Please use separately attached Registration Conveners
form for sending the application) Prof. S. Verma
Dean (Acad.), NIT Raipur
Dr. S Pandey
Name: ……………………………………… (HoD), Dept. of IT
Designation: …………………..……………
Organization: ……………………………… Coordinators
Qualification: ………………………………. Dr. R. K. Chaurasiya
Correspondence Address: ………….…… Asst. Prof., NIT Raipur
Dr. P. K. Mishra
…………………………………….............. Asst. Prof., NIT Raipur
.................................................................. Mr. T. P. Sahu Organized by
Asst. Prof., NIT Raipur
Tel(M) …………………………….…….......
Type of participation:................................. Dept. of Electronics and
E-Mail: ………………………..……………. Telecommunication Engineering
Address for Correspondence
Registration Fee is paid in the form of
&
DD/Online-Transform to Institute’s Dr. R. K. Chaurasiya (Asst. Prof.)
Account. (Electronics and telecommunication) Dept. of Information Technology
Amount ………………........................... Email: rkchaurasiya@nitrr.ac.in
No...............................Date …………… Contact No. +91 9165 97 1639
Name of the
Dr. P. K. Mishra (Asst. Prof.)
Bank……………………..……
(Dept. of Information Technology)
Accommodation Required: Yes / No
Email: pavanmishra.it@nitrr.ac.in
Contact No. +91 7566 01 1780
Date: Place:
Mr. T. P. Sahu (Asst. Prof.) National Institute of Technology
Signature
(Dept. of Information Technology) Raipur-492 010 (Chhattisgarh)
Note: Email: tirsahu.it@nitrr.ac.in
Demand draft should be made in favour of Contact No. +91 9826 55 1906
Director, NIT Raipur, payable at Raipur.
Machine Learning
28th August to 1st September, 2017
REGISTRATION FORM
Name: …………………………………………………………………………………………………
Designation: …………………..……………………………………………………………………….
Organization: …………………………………………………………………………………………..
Qualification: …………………………………………………………………………………………..
……………………………………................................................................................................
DD-Details:
(If fee is paid by DD in favor of Director, NIT Raipur payable at Raipur)
Amount:………………........DD Number………...:...............................Date:…………………….
Name of the Bank……………………..………………………………………………………………
Date:
Place: Signature
Note: DD/Online Payment proof along with the registration-from must reach to the coordinator (Dr R K
st
Chaurasiya) on or before 21 August, 2017.