OPTEST- 2015

Tenth National Conference on
Optimization Techniques in Engineering Sciences and Technologies
(OPTEST- 2015)
Registration form
(Photo copy of this form may also be used)
Name
: Dr. / Prof. / Mr. / Ms. ____________________________________
(in Capital Letters)
Name of the Institution with address and Pin code:
__________________________________________________
__________________________________________________
__________________________________________________
__________________________________________________
Phone
: _______________________________
Email
: _______________________________
Mobile: ________________________________
Title of paper : ________________________________________________________________________________
________________________________________________________________________________
Specialization of your paper
: Civil / Mech / EEE / ECE / CSE / IT / TXT / BT / Science & Humanities / OTHERS
(Please tick the appropriate category)
If others please specify
:
Accommodation Required
: YES / NO
Registration fee details: By Demand Draft / By cash (Spot registration)
(Please tick the appropriate category)
If fee payment by Demand Draft:
Amount: ______________________
DD No: ____________________________
Bank
: ____________________________________________________________
Date
: ____________________
Signature: _______________________________
All correspondence should be made to:
Prof C SASIKUMAR
Organizing Secretary, OPTEST – 2015
Department of Mechanical Engineering
Bannari Amman Institute of Technology
Sathyamangalam – 638 401, Erode District, Tamil Nadu
Mobile: 9443579022, 9443579010 Ph: 04295 – 226149
Email: [email protected] gmail.com
Note : Kindly bring the xerox copy of filled registration form for verification by the OPTEST team during the
event.