Gujarat Technological University
Organizes
Two Days Workshop on Patenting in Engineering
For Engineering Faculties of Baroda/Vidyanagr Zone
On 21st & 22nd January, 2012
Registration Form
Sr.
No.
1
Item
2
Qualification
3
Discipline
4
Designation
5
Institute Code
5
Name of
Institute/Organization
6
Mailing Address
7
8
City Pin Code no.
Contact Tel No
(with STD code)
Mobile
Fax
E-mail
9
10
11
Date:
Name (In Capital Letters)
Particulars
IMPORTANT NOTES:
1) Last date for registration: 12th January 2012, Thursday.
2) Faculties of Engineering discipline from Baroda/Vidyanagr Zone will be allowed to
participate on First come First basis
3) Registration fees: Registration is Free for GTU Faculties
4) Registration Process:
Send Registration form by e-mail mentioning “Workshop on Patenting in Engineering @
Baroda” subject on the gtufdp2011@gmail.com before 12th January 2012, Thursday.
5) Venue :
Auditorium Hall, Parul Institute of Engineering & Technology,
Waghodia Road, Ta: Waghodia, Dist: Vadodara , Gujarat 391760
6) For any clarification or query you can contact:
gtufdp2011@gmail.com OR 9099063164