The Institution of Engineers (India)
Madurai Local Centre
&
Department of Computer Science & Engineering
PSNA College of Engineering & Technology, Dindigul
Jointly organize
ONE DAY NATIONAL SEMINAR
ON
INTELLIGENT DATA ENGINEERING
11th February, 2015
REGISTRATION FORM
Name
:
Designation
:
Organization
:
Sex
:
D.O.B & Age
:
Educational Qualification :
Address for
Communication
(Mobile no & E-mail ID) :
DD. No.
:
Bank Name
:
Date:
DECLARATION
The above information is true to the best of my knowledge. I agree to abide by the rules and regulations governing the
course. If selected, I shall attend the programme for the entire duration. I also undertake the responsibility to inform the
Coordinator in case I am unable to attend the course.
Signature of the Applicant
SPONSORSHIP CERTIFICATE
Mr/Ms/Dr________________________________is an employee of our Institute / Organization and is hereby sponsored. He
/ She will be permitted to attend the programme in full, if selected.
Place:
Date:
Signature of the Sponsoring Authority
Office Seal
Application form completed in all respects is to be sent to:
The Coordinator,
Seminar on Intelligent Data Engineering
Department of computer Science and Engineering
PSNA College of Engineering & Technology, Kothandaraman Nagar, Dindigul-624622. Tamilnadu.
Mobile: 9597418317, 9443833045, 9843665115
Mail id: intelligentdataengineering@gmail.com