FDP Coordinator FDP Coordinator 1. 2. 3. 4. 5. 6. 7. 8. 9. Name: ………………….....................……………………………. Age and Sex: ……………………..................……………...…… Qualification: …………………….................………………….. Designation and Department: ……….........………………. ……………………………….............................……………………….. Name of the Institution : ……..................................... ……………………………………..............................…………………. Address for Communication: ………………….……………........................…………….…………...… ……………….……………….........................………………………...… Email: ………………............................……………………. Telephone with STD code: Office: …………...........................................………………… Mobile: …….........................................……………………… Registration Fee details: DD No …………..................….….… Date:…….......……….… Amount: …………..............…..… Bank: ……............………. Applicant Head of Institution Signature of the Signature & Seal of M.S. RAMAIAH INSTITUTE OF TECHNOLOGY (Autonomous Institute, Affiliated to VTU) Under TEQIP (Phase-II) REGISTRATION FORM Three Day Faculty Development Programme on Case Studies in AspenONE 22-24 July, 2015 Who can attend the Workshop The registrants are required to submit with the application form a registration fee of Rs. 500/ through a DD drawn in favour of “The Principal, MSRIT” payable at Bangalore. The number of participants is limited to 30. The selected participants will be informed by email/phone on or before 17/07/2015. No TA/DA will be paid by the host institution. Participants should make their own arrangements for accommodation. ·Last date for receipt of completed application th 16 July 2015 Venue: LHC Seminar Hall – II, MSRIT Registration Note Important Dates Address for communication Dr. Brijesh Associate Professor Ph: +918105100468 email ID: [email protected]R R Siva Kiran Assistant Professor Ph: +91 9986795754 email id: [email protected]Workshop starts with registration on nd 22 July 2013 at 9:00 am ·Confirmation for participants through e-mail th 17 July 2015 The workshop is open for the teaching faculties, students of Chemical and biotechnology and employees from industries M S Ramaiah Institute of Technology MSR Nagar, MSRIT Post, Bangalore - 560054, Ph:08023600822, 23608445, Fax: 23603124 / 23607512, Web: www.msrit.edu Department of Chemical Engineering M.S. RAMAIAH INSTITUTE OF TECHNOLOGY (Autonomous Institute, Affiliated to VTU) Under TEQIP (Phase-II) 22 July - 24 July 2015 Three Days Faculty Development Program Case Studies in AspenONE
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