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    Short Term Course On Characterization Techniques For Multifunctional Materials Registration Form

    Uploaded by

    Bhabani Sankar Swain
    This document is a registration form for a short term course on characterization techniques for multifunctional materials being held from June 28-30, 2013 at the National Institute of Technology in Rourkela, India. The form requests the applicant's contact information, educational background, experience, accommodation preferences if staying on campus, and payment details to register for the course by June 7, 2013. It provides contact information for the two course coordinators.

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    Short Term Course On Characterization Techniques For Multifunctional Materials Registration Form

    Uploaded by

    Bhabani Sankar Swain
    34 views1 page
    This document is a registration form for a short term course on characterization techniques for multifunctional materials being held from June 28-30, 2013 at the National Institute of Technology in Rourkela, India. The form requests the applicant's contact information, educational background, experience, accommodation preferences if staying on campus, and payment details to register for the course by June 7, 2013. It provides contact information for the two course coordinators.

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    This document is a registration form for a short term course on characterization techniques for multifunctional materials being held from June 28-30, 2013 at the National Institute of Technology in Rourkela, India. The form requests the applicant's contact information, educational background, experience, accommodation preferences if staying on campus, and payment details to register for the course by June 7, 2013. It provides contact information for the two course coordinators.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    34 views1 page

    Short Term Course On Characterization Techniques For Multifunctional Materials Registration Form

    Uploaded by

    Bhabani Sankar Swain
    This document is a registration form for a short term course on characterization techniques for multifunctional materials being held from June 28-30, 2013 at the National Institute of Technology in Rourkela, India. The form requests the applicant's contact information, educational background, experience, accommodation preferences if staying on campus, and payment details to register for the course by June 7, 2013. It provides contact information for the two course coordinators.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Short Term Course on

    CHARACTERIZATION TECHNIQUES FOR MULTIFUNCTIONAL MATERIALS


    JUNE 28 - 30, 2013

    Registration Form
    1. Name: ....................
    2. Designation: ...........
    3. Organization: .........
    4. Mailing Address: ..........
    ................................
    5. Contact No.: ... Fax: ...
    6. Email: ................
    7. Educational Qualification: ......
    8. Experience: ............
    9. Accommodation in Campus: YES / NO. If yes, select the appropriate from below,
    (i) Accommodation: Hostel / Guest house

    (ii) Gender: Male / Female

    10. Registration Fee Details:


    Amount: Rs DD No: .....
    Drawn on.Branch...

    Signature of Applicant:________________
    Please send the filled in form to the either conveners on or before June 7, 2013
    Coordinators
    1. Prof. Dillip K.Pradhan, Department of Physics, National Institute of Technology, Rourkela,
    Odisha-769008, (INDIA)
    2. Prof. P.N.Vishwakarma, Department of Physics, National Institute of Technology, Rourkela,
    Odisha-769008 (INDIA)

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