REGISTRATION FORM: WINTER TRAINING 2008-2009
Personal Details:
Name
Father Name
Nationality	Indian NRI Foreigner
Gender	MALE FEMALE
Mailing Address
Email ID
Alternate Email ID
Mobile No.
Home Ph. No.
Educational Details:
Working Status	Student Employed Unemployed
Branch	Engg.(CS) Engg.(IT) Engg.(EC) Engg.(ET) Engg.(EI) Engg.(EE) Engg.(EN) Engg.(ME) Engg.(CIVIL) Engg.(CHEMICAL) MCA BCA M.Sc.(IT) M.Sc.(CS) M.Sc.(Others) B.Sc.(IT) B.Sc.(CS) B.Sc.(Others) Others
Year	FIRST SECOND THIRD FOURTH FIFTH
College Name
College State	Andaman, Nocobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chattisgarh Delhi Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Orissa Pondicherry Punjab Rajasthan Sikkim Tamilnadu Tripura Uttaranchal Uttar Pradesh West Bengal
College City	Port Blair Others
Training Details:
Training Location	Greater Noida Roorkee
Course to be joined	.NET C & C++ CATIA EMBEDDED SYSTEM J2EE MATLAB VHDL
Batch Date	Saturday, December 20, 2008 Thursday, January 01, 2009 Thursday, January 15, 2009 Sunday, February 01, 2009 Friday, February 20, 2009 Sunday, March 01, 2009
Duration	2 Weeks 4 Weeks
Fooding & Lodging	Paying Guest Facility is available for candidate
Bank Details:
Multiple Candidate	Check if your draft is used for more than one candidate or for more than one course
Bank Name	ABN Amro Bank American Express Andhra Bank AXIS Bank Bank Of India Bank Of Punjab Canara Bank Centurion Bank CITI Corporation Bank Federal Bank HDFC ICICI Indian Bank Indusind Bank Karnataka Bank Oriental Bank Of Commerce Others Punjab National Bank Rajasthan Bank SBI Associate Bank's State Bank Of India Syndicate Bank Union Bank Of India Allahabad Bank State Bank of Patiala
D D Amount
	Draft Amount=1123(In case of Fooding and Lodging Required). Draft Amount=562(In case of Fooding and Lodging not Required).
Demand Draft No.
Draft Issue date	Dec January 2009 Feb Sun Mon Tue Wed Thu Fri Sat 28 29 30 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7
Declaration of student:
I here by declare that all the above information are true to the best of my knowledge.