Dec 14, 2016 - E-mail ... at Chennai. Pl. mail your registration from with the payment immediately to: ... Mobile: 09444
Computer Society of India, Chennai Chapter IEEE Computer Society, Madras IEEE Professional Communication Society, Madras IEEE Technology Engineering Management Society, Madras IIT Madras Alumni Association, Chennai Chapter
One Day Workshop on
Vedic Self-Management An Interactive Program based on Ancient Indian Wisdom Wednesday :: 14th Dec 2016 :: 10.00 a.m. to 5.00 p.m. :: Registration at 9.00 a.m. onwards Seminar Hall, CSI Education Directorate, Taramani, Chennai - 600113 REGISTRATION FORM (Please photocopy the form for multiple registrations) I am interested in attending the Workshop on “Vedic Self-Management” Name
: __________________________________________________________________
Designation
: __________________________________________________________________
Organization / Institution Address
: __________________________________________________________________ : __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
Phone
: __________________________________________________________________
E-mail
: __________________________________________________________________
Registration Category & Fee (Tick one) :: Fee is inclusive of Service Tax.
Members of CSI / IEEE / IITMAA & Supporting Orgn. Industry & Other Delegates
: Rs. 400/= : Rs. 500/=
Membership No. (if member of CSI / IEEE / IITMAA or a supporting organization):: _________________ Cheque / Draft Enclosed No.: _______________
Dated: ______________ for (Amount): _____________
Bank & Branch :_________________________________________________________________________ Signature: __________________________________________Date: ______________________________ DD/Cheque to be drawn in favour of “COMPUTER SOCIETY OF INDIA – CHENNAI CHAPTER” and payable at Chennai. Pl. mail your registration from with the payment immediately to: Computer Society of India, CSI - Education Directorate, CIT Campus, 4th Cross Road, Taramani, Chennai 600113
Payment can also be made through online Name of beneficiary Beneficiary’s Bank Account Number MICR Code IFSC Code
CSI, Chennai Chapter State Bank of India, MIDC, Andheri East, Mumbai 33934168390 400002057 SBIN0007074
For clarifications/queries if any, pl. contact Mr. K. Srinivasan, Executive Secretary, CSI. Mobile: 09445420096 & email:
[email protected] Dr. P. Sakthivel, Chair, IEEE Computer Society. Mobile: 09444412789 & email:
[email protected]