Registration Form
Regional Workshop
                                                                            on
                 Transformative Youth
                            and
   Engineering Education : Towards A Sustainable Future
                                                        (6th - 8th October, 2017)
                                                                             at
                                                      ABESIT, Ghaziabad
   Name of Institute:____________________________________
    S.No.         Name of Student                      Year Branch Contact No.                                            Email ID
   Registration fee may be paid through Cash or by Demand Draft/pay order in the
   favour of ABES Institute of Technology Ghaziabad payable at Ghaziabad. Registration
   fee can also be paid online; link for online payment is available on ABESIT website
   (www.abesit.in)
       DD/PO: _____________________Date:__________
       Bank & Branch: _____________________________________________
       Registration Fee : Rs. 1000/- for each team (consisting of 3 students)
       Participants are required to send the scanned copy of their registration form at
       regionalworkshop@abesit.in on or before 1st, October, 2017.
                                                  For Information/Enquiry contact
            Dr. Sapna Katiyar                                                                            Mr. Upendra Kr. Tiwari
             Mob: 9811583876                                                                                Mob: 9953972165
          sapna.katiyar@abesit.in                                                                        upendra.tiwari@abesit.in
                                                            Student coordinators
           Bhanu Prakash Tiwari                                                                            Prateek Kapoor
             Mob: 7905187253                                                                              Mob: 9654019428
           bhanu17aug@live.com                                                                      prateekkapoor323@gmail.com
                        ABES Institute of Technology                                                         College Code 290
Approved by AICTE, Ministry of HRD, New Delhi & Affiliated to Dr. APJ Abdul Kalam Technical University (formerly Uttar Pradesh Technical University), Lucknow
Campus-2, 19th km. Stone, NH-24, Vijay Nagar, Ghaziabad - 201009, (U.P.), India, Phone: 91-120-6517673, 6517675 Fax: +91-120-2845600, Mobile No. 9953522000
                                                        website: www.abesit.in, email: info@abesit.in