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Name of the Institution..................................................................................................................

Name of the University ..................................................................................................................

Institution / University Address

Address ...............................................................................................................................................................................

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City:.........................................................................................District:................................................................................

State:.................................................. Pin Code Telephone:................................................

Fax:........................................... E-mail:.............................................................................................................................

Discipline of Study..............................................................................................................................................................

Expected date of graduation and current status..............................................................................................................

Educational topics pursued pertaining to wind energy development

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Working Professional

Title of your post / designation .........................................................................................................................................

Qualification.............................................................................Discipline...........................................................................

Period of Service from.............................................................to..... ...................................................................................

Name of the Employer........................................................................................................................................................

Office Address

Address ...............................................................................................................................................................................

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City:.........................................................................................District:................................................................................

State:.................................................. Pin Code Telephone:................................................

Fax:........................................ ...E-mail:..............................................................................................................................

FOR OFFICE USE ONLY

Application received on:

Application Number: Course fee received:

DD No.: DD Date:

Amount Rs.

Signature:

REGISTRATION FORM

PERSONAL INFORMATION

Fill it up in all respect and send the soft copy

by e-mail to training@cwet.res.in and the signed hard copy to NIWE by post / person

(Fill in Block Letters)

Name : ...........................................................................................................................................

Date of Birth : / / Age :

DD MM YYYY

Gender : Male Female

Student

PASTE

PASSPORT S ZE

PHOTOGRAPH

National Institute of Wind Energy (NIWE), formerly Centre for Wind Energy Technology, Chennai

th17 National Training Course on

th th

18 - 20 MARCH 2015

WIND ENERGY TECHNOLOGY

NALIO IT NA SN T IT U

TE

O FWIND

E N E

R G Y

NIWE

8/10/2019 17 Application Form

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DECLARATIONI certify that the information provided is true to the best of my knowledge.

Signature of Applicant Signature of Nominating Authority with Seal

If you are selected, you will be notified through letter or e-mail or phone. You are required to confirm your attendance.

CANCELLATION & SUBSTITUTIONS

We take utmost care in providing quality lectures and hospitality with appropriate advanced planning. The course structure & organization of

training has been highly acclaimed by all the previous course participants. In order to plan in advance, the registration without the Course Fee onor before the last date does not conrm the reservation for the course and the cancellation of registration will be entertained until 02.03.2015 onlywith the written request. The refund of the Course Fee will be done after deducting the handling charges of Rs.1000/-. The cancellation requestreceived after 02.03.2015 will not be eligible for refund and instead the course kit will be provided after the course. The substitution can beallowed with prior intimation and submission of new Registration Form. In case the training is cancelled, full refund will be made. NIWE reservesall rights to postpone or cancel the course with due intimation.

DETAILS OF FEECOURSE

DD No.: ......................................DD Date:..............................Branch Name:....................................................................

Name of the Bank...............................................................................................................................................................

Amount: Rs. or5,618/- Rs. including 12.36% Service Tax16,854/-

Description of your work, including your personal responsibilities

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Describe any hands-on experience related to wind energy tools / equipment

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COMMUNICATION ADDRESS

Address ...............................................................................................................................................................................

City:.........................................................................................District:................................................................................

State:....................................................................................................................... Pin Code

Telephone:...........................................................................Mobile:...................................................................................

Fax:..............................................Email:.............................................................................................................................

Proof of identification to be produced at the time of registration at NIWE...................................................................

(Student ID, Office ID, Driving Licence, PAN Card etc.)

Please state briefly the reason(s) for applying to this , your main topics of interest within thecourse training

course .and how you hope to benefit

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How did you come to know this course?about

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th th th17 National Training Course on Wind Energy Technology 18 - 20 March 2015

Last date for receiving application Is 02-03-2015.

National Institute of Wind Energy (NIWE), formerly Centre for Wind Energy Technology, Chennai