DICE 2017 Registration Form
Email address
Project Title
Your answer
Project Brief Description
Your answer
Project Group
Team Members (Add Name, contact # and Email address)
Maximum five members, one optional industry member and four student members
Your answer
Team Leader (Name, Phone Number, Email)
Out of above mentioned members
Your answer
Faculty Incharge (Name, Phone Number, Email)
In addition to those 5 members, Multiple teams may have same faculty incharge (Provide name, e mail and contact number)
Your answer
Name of University/Institution
Your answer
Your answer
Any Hardware Support Required?
Accommodation Required? (Yes/No and for how many members?)
Your answer
Which Nights?
A copy of your responses will be emailed to the address you provided.
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