IC2E2MIT16

11th & 12ST March 2016

REGISTRATION FORM

Name

Designation / Student

Institution

Gender (F / M)

Mail id

Mobile No

Title of the Paper

Registration Fee details (PLEASE [ ])

1. Research scholar

2. M.E. / M.Tech. Student :

3. Faculty

4. B.E. Student

D.D Details
Amount

Bank Name :
Branch

Date

D.D No :

Online payment
Amount

Bank Name :
Receipt No :

Date

Payment Details:

In case of DD, it should be drawn in favor of The Principal Ranganathan

Engineering College" Payable at Coimbatore-641109.
In case of direct payment the amount should be credited to the A/C number
o Payee Name : SUDHAKAR G
o Payee Account Number : 28760100004547
o Bank IFSC Code : BARB0CMRABS [Fifth character is zero]
o MICR Code : 641012007
o Customer ID : 066188202
o Payee Bank Name : BANK OF BARODA
o Payee Bank Branch : RS PURAM COIMBATORE
o Payee Bank City : COIMBATORE
o Account Type : Savings
o Payee Bank Country : INDIA
The payment proof should also be sent along with the Application form. For further
details please visit our website (reccbe.site90.net)
Indian Delegates:
o Industry
: INR 1750
o Academicians
: INR 1500
o UG Students
: INR 700
o PG Students / Research Scholars : INR 1000

Contact Details
Mr. S. ARUN KUMAR,
AP / CSE,
Co-ordinator, IC2E2MIT-16
Ranganathan engineering college
Rec kalvi nagar,thondamuthur,
Coimbatore - 641109.
contact no: 9790644630
Check List along with Application

Registration form.
Demand Draft or Payment proof.
o Please write your name and college name at the back side of the DD