All India Paper Presentation Competition 2011 (AIPPC 2011) On

Challenges in Recent and Emerging Technologies

Registration Form
Instructions:1. Single form should be submitted by group of participants. 2. Photo copies of this form can be used by other participants. 1) Information about participation: (a) Participants Details: Sr. No Name of Participates Email ID Mobile

(b) Department. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (c) Paper Presentation Topic: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Signatures of Participants 1) . . . . . . . . . . . . . . . . . . . . . . 2) . . . . . . . . . . . . . . . . . . . . . . .

Certification from Institute

This is to certify that Mr /Miss 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Are Bonafide student of our Institute. They are deputed for all India paper presentation competition 2011, to be held at your Institute. (Zakir Hussain College of Engineering and Technology, Aligarh Muslim University, Aligarh). Place : Date : Principal / Director

Receipt
Date. Name : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . College/Institute : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..

Amount : Rs. 150

(Signature) (Signature)

Participant

In-charge

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