Final Brochure STTP June 2016
Final Brochure STTP June 2016
Final Brochure STTP June 2016
PATRONS
REGISTRATION FORM
Name
:_____________________________
Age
: _____________________________
Designation : _____________________________
Institute/Industry
:____________________________
Mailing Address
:____________________________
_____________________________________
______________________________________________________
______________________________________________________
Tel. No
: ____________________________
E-Mail
: ____________________________
Qualification : ____________________________
ISTE Membership No. (Life/Annual)
: ____________________________
Experience
: ____________________________
Payment details
DD No. & Date :_____________________________
Bank name
:_____________________________
Accommodation required
Signature of applicant
Recommendation of Employer
The applicant will be permitted to participate in the
above program, if selected.
Date:
ADVISORY COMMITTEE
Dr. S. M. Khot
Principal, Fr. C.R.I.T., Vashi
Dr. Sincy George
Professor & Head,
Department of Electrical Engineering
COURSE CO-ORDINATOR
Mrs. Ruchi Harchandani,
Assistant Professor
Mobile: 09819984345
e-mail: ruchi.harchandani@fcrit.ac.in
Organized by
Department of Electrical Engineering
Fr. C. Rodrigues Institute of Technology
: YES/NO
Date:
ISTE APPROVED
SHORT TERM TRAINING PROGRAMME
Signature
Name & Designation of
the Sponsoring Authority with Seal
Dr. Bindu S.
Mob: 09819220504
Venue Address
Fr. C. Rodrigues Institute of Technology
Sector 9A, Vashi, Navi Mumbai 400703.
Phone: 022 27771000 extn. 164
Fax: 022 27660619
www.fcrit.ac.in
SCOPE OF STTP
FACULTY
ACCOMMODATION
Participants who desire accommodation in the campus
are requested to indicate so in the registration form.
Accommodation will be provided at a nominal rate for
limited number of delegates.
Note: Photocopy or downloaded copy of the
registration form can also be used.
REGISTRATION FEE:
Teachers(ISTE members):
Teachers(non-ISTE members):
Industry Professionals:
Students:
Rs.2000/Rs.3500/Rs.8000/Rs.2000/-
: Noor Masjid