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NATIONAL CONFERENCE on

PARADIGMS in MECHANICAL ENGINEERING 20th December 2014 (Saturday) Registration Form

Name:_________________________ Designation:______________________________ Address:__________________________________ Ph: ___________________Mob. No.:_________________ E-mail:___________________________________ Mode of payment of fee (please give the details) _________________________________________ Registration Category : Industry / Academic / Research scholar (Attach Proof) D.D. Details. Amount :_____________________________ No.: ________________ Date: ____________ Drawn On:___________________________________ Please tick: I plan to present a paper [Yes / No] I plan to attend the conference [Yes/No]

Signature: Date:


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