Power Systems Division

CENTRAL POWER RESEARCH INSTITUTE

(Govt. of India Society, Ministry of Power)
Prof. Sir. C.V.Raman Road, P.B.No.8066
Bangalore – 560 080, Karnataka, India
REGISTRATION FORM
Two days Workshop on
“Application of Wide Area Measurements in the Smart Grid”
8th - 9th March 2012
Mr. /Ms. /Mrs. /Dr. /Prof. Others (please specify)
Name of the Participant (Capital Letter) ________________________________________________
Designation__________________________________ Nationality___________________________
Full address of Organization_________________________________________________________
(For communication) _________________________________________________________
_________________________________________________________
Country: _______________ ZIP/PIN Code:________________________
Phone/Fax Nos.:(Please Mention Country & STD Code)
Office:_________________________________Res. (Optional):_________________________
Fax:___________________________________Mobile/Cell:___________________________
E-mail:______________________________________________________________________
Enclosed is a Demand Draft No:________ Dated ________ for Rs.___________ drawn on
____________________________ Bank towards delegate fee drawn in favour of “Accounts Officer,
CPRI” payable at “Bangalore.”
Signature:
(participant or nominating authority)
Name:
Designation:
Date:
Note: Kindly mention your Name, Name of the Company and Name of the workshop behind the Demand Draft

Completely filled forms & DD shall be sent to: Delegates may transfer the fee to:
Shri. P.Kaliappan State Bank of India
Coordinator Swift Code No.: SBININBB425
Power Systems Division SBI A/c No.:10270577483 (International)
Central Power Research Institute SBI A/c No.: 10356553310 (National)
Prof. Sir C V Raman Road Beneficiary Name : CPRI, Bangalore
P.B. No. 8066, Bangalore – 560 080 IFSC code: SBIN0010370
Karnataka, INDIA
E-mail: kaliappan@cpri.in

CANCELLATIONS & SUBSTITUTIONS:

Registration without payment does not confirm the reservation for the event. Request for cancellations must be
received in writing, more than 7 working days before the conference to get refund. However, Rs.1000/-per
delegate will be deducted as handling charges. If the fee has been paid in full, substitutions can be made with
prior intimation with no extra cost. In case this conference is cancelled, full refund will be made. CPRI reserves
the right to postpone or cancel this event.

Kindly use separate form for each participant, downloaded/photocopies of this registration form is acceptable.