Faculty Development Programme on

DATABASE MANAGEMENT SYSTEMS June 23 - 29, 2014

REGISTRATION FORM

Name (in Block Letters) :

Designation :

Educational Qualification :

Name of the Institution :

Institution affiliated to Anna University : YES / NO

If Other Institution (please specify) :

Address for Communication :

Mobile : +(91) - E-mail :

DECLARATION

I, _______________________________________________ agree to abide by the rules and

regulation governing the training programme. The information provided herewith is true

to the best of my knowledge.

Date Applicant’s Signature

Endorsement of the Head of the Institution/Department

Dr./Mr./Ms._____________________________________________________is an employee

of our institution. He/She is permitted to attend the program if selected.

Date

Signature of the Head of the Institution/Department