Name of the Participant     *

College Register Number     *

Branch & Year of Study     *

Name of the Institution     *

Communication Address

a

Mobile number     *

Email-ID     *

Events Registration:

.

ILLUMINOZ
   -TECHNICAL PAPER PRESENTATION

YES      NO

IDEAZ
   - STARTUP IDEAS PRESENTATION

YES      NO

BRAINIOCS
   -TECHNICAL QUIZ

YES      NO

TECH HUNT
   -TECHNICAL TREASURE HUNT

YES      NO

a

Registration Fee Amount

Rs.200/-      Rs.300/-

      For Non IETE Member : Rs. 300/- per participant
      For IETE Member : Rs. 200/- per participant (IETE Member should submitt membership card xerox at the time of registration)
     All Registered Participants are elegible to participate in any number of events

a

I undertake to pay the above mentioned registration fee in cash at the time of registration
on the event date

.

.

.

.

.