Registration Form (ESAR-2018)
Organization:
Designation:
Address:
Mobile:
E-Mail:
IEEE /IETE Member :
Membership # :
Reg. Fee Amt :
Details of DD/Cheque:
Bank:
Special Information/ Request (If any):
Accommodation required:
Signature with date:
Note: CBS Cheques / DDs should be payable at Kanpur and drawn in favor of “FACULTY OF ENGG. & TECHNOLOGY”; for any query please visit our website.