Reg Form
Reg Form
Short-Term Course On
Intelligent System Applications to the Smart Electric Grid Solutions
November 15-19, 2010
Name _________________________________________________________________________
Organization ___________________________________________________________________
Payment details:
Draft No. __________________Date: _____________ Issuing bank _______________________
Amount _____________________ Drawn on _________________________________________
(In favour of “Continuing Education Program, IIT Kanpur” payable at SBI, IIT Kanpur (11161)
Signature of applicant
For the participants from academic institution only:
Will you be interested to be considered for the non-QIP candidate, if not selected in QIP category,
with reduced course registration fee? YES/NO
_____________________________________________
Recommended.