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SRI CHANDRASEKHARENDRA SARASWATHI VISWA MAHAVIDYALAYA

(Deemed to be University u/s 3 of UGC act 1956) (Accredited with ‘A’ by NAAC) ENATHUR, KANCHIPURAM - 631561. TAMIL NADU, INDIA

DEPARTMENT OF PHYSICS

TWO DAY WORKSHOP ON NANO MATERIALS AND NANO COMPOSITES [Makeintern&ECell / IIT– Kharagpur Event]

JANUARY 24-25, 2019

Registration Form

Name :

Position : Faculty/Research Scholar/Student Designation/Department/Class/Year :

Institutional address :

Mobile :

Email :

Mode of payment : Bank remittance / Online transfer/Spot registration Amount Paid : Yes No(Kindly tick the appropriate column)

Date of transfer :

Place : Date :

PAYMENT DETAILS:

Name : SankaraBhautikasastraparishad

A/C number : 6182054726

Name of the bank/branch : Indian bank, SCSVMV University branch, Enathur, Kanchipuram–631561.

IFSC CODE : IDIB000S145 (Characters 5, 6 & 7 are zero)

Signature of the participant

Signature of Head of the department / Institution

Scanned copies of the filled-in registration form along with the proof of payment made can be sent to [email protected]

SRI CHANDRASEKHARENDRA SARASWATHI VISWA MAHAVIDYALAYA

(Deemed to be University u/s 3 of UGC act 1956) (Accredited with ‘A’ by NAAC) ENATHUR, KANCHIPURAM - 631561. TAMIL NADU, INDIA

DEPARTMENT OF PHYSICS

TWO DAY WORKSHOP ON NANO MATERIALS AND NANO COMPOSITES [Makeintern&ECell / IIT– Kharagpur Event]

JANUARY 24-25, 2019

Registration Form

Name :

Position : Faculty/Research Scholar/Student Designation/Department/Class/Year :

Institutional address :

Mobile :

Email :

Mode of payment : Bank remittance / Online transfer/Spot registration Amount Paid : Yes No(Kindly tick the appropriate column)

Date of transfer :

Place : Date :

PAYMENT DETAILS:

Name : SankaraBhautikasastraparishad

A/C number : 6182054726

Name of the bank/branch : Indian bank, SCSVMV University branch, Enathur, Kanchipuram–631561.

IFSC CODE : IDIB000S145 (Characters 5, 6 & 7 are zero)

Signature of the participant

Signature of Head of the department / Institution

Scanned copies of the filled-in registration form along with the proof of payment made can be sent to [email protected]

SRI CHANDRASEKHARENDRA SARASWATHI VISWA MAHAVIDYALAYA

(Deemed to be University u/s 3 of UGC act 1956) (Accredited with ‘A’ by NAAC) ENATHUR, KANCHIPURAM - 631561. TAMIL NADU, INDIA

DEPARTMENT OF PHYSICS

TWO DAY WORKSHOP ON NANO MATERIALS AND NANO COMPOSITES [Makeintern&ECell / IIT– Kharagpur Event]

JANUARY 24-25, 2019

Registration Form

Name :

Position : Faculty/Research Scholar/Student Designation/Department/Class/Year :

Institutional address :

Mobile :

Email :

Mode of payment : Bank remittance / Online transfer/Spot registration Amount Paid : Yes No(Kindly tick the appropriate column)

Date of transfer :

Place : Date :

PAYMENT DETAILS:

Name : SankaraBhautikasastraparishad

A/C number : 6182054726

Name of the bank/branch : Indian bank, SCSVMV University branch, Enathur, Kanchipuram–631561.

IFSC CODE : IDIB000S145 (Characters 5, 6 & 7 are zero)

Signature of the participant

Signature of Head of the department / Institution

Scanned copies of the filled-in registration form along with the proof of payment made can be sent to [email protected]

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