(Registration Form)
National Conference
ON
“RECENT DEVELOPMENT IN ELECTRICAL, ELECTRONICS AND
COMMUNICATION ENGINEERING”
(RDEECE-2016)
April 9-10, 2016
1. Name: Prof./Dr./Mr./Ms. _______________________________________________________________________
2. Gender: Male _________________________________ Female ________________________________________
3. Designation:
_____________ ________________________________________________________________
4. Organization: ________________________________________________________________________________
5. Mailing Address:
______________________________________________________________________________________________
______________________________________________________________________________________________
6. Mobile No.: __________________________________________________________________________________
7. E-mail ID: ____________________________________________________________________________________
8. Are You Presenting a Paper (Yes/No): ______________________________________________________________
9. If yes, Title of Paper____________________________________________________________________________
____________________________________________________________________________
10. Category (Tick): Participant (Outside India) / Industrial Participant /
Academician / Faculty / Research Scholar / Student (PG)
(Accommodation assistance for the interested participants will be provided on paid & first come first serve basis. For this
request along with payment should be made to the convener by 30th March, 2016)
12. Payment D.D. No.: ______________________________________Dated:________________________________
Rs._____________________ Drawn on Bank & Address: ________________________________________________
______________________________________________________________________________________________
The demand draft should be in the favor of “BSA College of Engineering & Technology” payable at Mathura (UP).
13. Declaration: I/We undertake that the paper now submitted to RDEECE-2016 is not copied or plagiarized version of
some other published work. I/We certify that my/our research/review paper, submitted to RDEECE-2016, has neither
been submitted for publication nor published in any Journal/Magazine/conference proceedings so far.
Signature(s): ___________________________________
Date: ____________________________