Registration Form
Short Term Course on: Advanced DSP Design Techniques (IIT Kharagpur)
 
  1.    Name:  

  2.    Category:   
       [For registration as student, please enclose a bonafide certificate from parent institution.]

  3.   Organization:
      


  4.   Address:
     


  5.    Tel. Nos (O, R, CP):

  6.    E.Mail ID:  

  7.    Highest Acad. Qualification: 

  8.    Veg./Non-Veg. :

  9.    Bank Draft No.:   Date:
       Amount: Rs.    Drawn on:

    [Important : Payment to be made strictly by bank draft, drawn in favour of CEP-STC,  
     IIT, Kharagpur,
payable at Kharagpur.]




  Date:                                                        (Signature of Applicant)

                                                           

Interested persons may fill and print this form and apply along with the registration fee, paid through a demand draft drawn in favour of ‘CEP-STC, IIT Kharagpur’ and payable at Kharagpur. The number of seats is limited and thus candidates are advised to register early. 

The complete registration form along with demand draft should be mailed to:

 

Prof. Mrityunjoy Chakraborty

Department of E. & E.C.E.

I.I.T. Kharagpur - 721302 (W.B.)

 

For PDF version of registration form click Registration Form