Annexure I
Registration Form
Title of the Programme: National Conference on Current Trends in Testing and Evaluation.
Venue: CIIL, Mysore Date (s): 26/10/17 to 27/10/17
1. Full Name :
2. Gender :
3. Community / Category* :
4. a) Educational Qualification :
b) Highest Qualification in the
concerned language :
5. Designation** :
6. Institutional Affiliation :
7. Address for communication with PIN
Phone No. :
8. Email ID :
9. ID Proof enclosed :
Signature
Please note:
ü Original tickets must be submitted for claiming TA. Only railway fare / bus fare will be reimbursed.
ü Each participant has to submit a copy of valid id proof such as Passport, Aadhar Card, Bank Passbook or other ID cards issued by State / Central Govt., University, etc. The same ID card shall be produced in original during registration of the training programme.
ü All participants must abide by the code of conduct / guidelines laid down by competent authorities at NTS-CIIL during their participation and stay in CIIL.
ü For queries, contact Ms. Lepakshi Ph.: 0821-2345112 (NTS-I, Office). Phone inquiries should be made between 10 AM to 5:30 PM only.
ü Scanned copy of the filled in form shall reach by 05.10.17.
* Information for statistical purpose only.
** Research Scholars shall mention the title of the thesis / name of the guide and the department.