Registration-Form

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Acharya Motibhai Patel institute of computer studies, Ganpat vidhyanagar, Kherva-382711 Dist-mehsana. Phone-02762-289039 Registration Form for a one day state level event “PRASHASHT” on 9th October 2010 (Saturday) Form No______ Name: Sanghvi Bhautik Address : f-9 block no 540, Ranjitnagar, Jamnagar. Email:[email protected] Course: MCA College name: JVIMS (MCA) Address: shah bhagvanji kacharbhai edu.complex, Near Octrol Post,Indira Marg, Jamnagar 361001. Contact No:9429141477 Semester:3

University:gujrat technological university

Events: x Programming Competition: Paper Presentation: Poster Presentation: Web Designing:

Note: Your filled form should be reached to [email protected] on or before 30th September 2010. Just make ‘x’ in front of event you want to participate in. On date of event you need to pay 100 Rs. per event at the

time of Registration. Form No is for office use only. For further information you may contact on 8980107318, 8980107319.

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