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Registration Form SHORT TERM COURSE ON REAL-TIME AND EMBEDDED SYSTEMS September 15-21, 2012 Name: Designation: .. Address: ..... ..... . E-mail: Telephone: . Mobile: Fax: Date of Birth: Educational Qualification: Years of Experience: Programing Languages Known: .. . Specialization if any: Is Accommodation Required? Yes/No Demand Draft No: . Drawn on Bank: .. Branch: . Date of issue: . .. Signature of Applicant with date For Candidates from AICTE Recognized Colleges: Recommended and Forwarded by .. Signature with Seal of the Head of the Institute

 

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