Workshop/Seminar Registration Form
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Please Make your payment to:
Ac No.6322201000004
IFSC: CNRB0006322
Canara Bank
JNNCE Campus Branch,
Shivamogga
Participant Name
Contact No :
Email ID :
Designation :
Assistant Professor
Associate Professor
Professor
Professor and Head
Lecturer
Research Scholar
Student
Working Institute Name and Place :
Seminar/Workshop Title :
Type of Participant :
Internal
Internal with fee exemption
External
Participant Dept :
CIVIL
CSE
ECE
EEE
ISE
MECH
TCE
MBA
MCA
Preferred Mode of Participation :
Online
Offline
Fee paid :
Transaction No. (UTR) :
Date of Payment :
Remarks if any:
Image of Transaction: