Shri Dadasaheb Gawai Charitable Trust’s
TAKSHASHILA MAHAVIDYALAYA , AMRAVATI
Congress Nagar Road, Shyam Nagar, Amravati
One day national interdisciplinary conference
On
Role of it in education
22th December 2012
REGISTRATION FORM
Name: Mr./Mrs./Dr./Prof. : _____________________________________
Designation : _____________________________________
Address : _____________________________________
Ph. No. /Cell No. : _____________________________________
E-Mail address : ____________________________________
Registration Fees Amount : _____________________________________
Cash / DD No. : _____________________________________
Date: ____________ Signature : ______________
Correspondence :
Manju V. Ahir (Sharma) Dr. Arun . G. Sinha
Organizing Secretary Principal
Mobile No. : 9890428212