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Registration form for One Week Workshop On TECHNOLOGY CONVERGENCE AND IT’S PRACTICES
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Name of the Participants:
Mobile Phone Number:
IEEE / WIE membership Number (If want concession for)
Payment Option: Cash/ Cheque /DD
Cheque /DD should be in the favor of “SPIT Allied Division”, payable at Mumbai
Cheque /DD No.
Cheque /DD Dated:
Cheque /DD Bank Name:
Cheque /DD Amount:
Mode of Submission of Cheque /DD:
Courier on S.P.I.T. College address
self delivery at college address
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