Registration Form

Two Days Seminar
on
RECENT TRENDS IN MANUFACTURING & QUALITY ENGINEERING
(RTMQE 2014)
MARCH 1 - 2, 2014
(Saturday & Sunday)
Jointly organized by
JAYVANTRAI HARRAI DESAI POLYTECHNIC, PALSANA, DIST. SURAT (GUJARAT)
&
THE INSTITUTION OF ENGINEERS (INDIA),
SOUTH GUJARAT LOCAL CENTRE, SURAT (GUJARAT)
Sponsored by
Dr. SAURABH J. DESAI CHARITABLE TRUST, NAVSARI (GUJARAT)
Full Name (in block letters) :
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Designation : ……………………………………………………………………………………..
Affiliation with Addresses : ………………………………………………………………………
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Contact No. : (O) ……………………………………..
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E-mail ID : ………………………………………………..
Details of Registration Fees :
Amount Rs. : ……………………................................... only)
Cheque No. : ……………………………
Dtd. : …………………………
Signature of the Participant