Chatrapati Shahu Institute of Business Education and Research (CSIBER), Kolhapur.

UGC-CPE Sponsored Two Day Workshop on

Teaching Pedagogy and Emerging Trends in Information Technology

3rd and 4th March, 2017

Registration Form

Name of the participant: ………………………………………………………………………...

Designation: .……………………………………………………………………………………...

College/Organization:……………………………………………….…………………………...

Address for Correspondence: …………………………………………………………………..

………………………………………………………………….

Contact Number:…………………..…… Email Id: ……………………………………….……

Payment Details:

Cash DD RTGS

Bank Name: ……………………………………………………

D.D. Number: …………………………………………..……..

UTR Number (In case RTGS/NEFT Payment): …………………………………….....……...

Signature

Participant

Note: DD of Rs.1000/- in favor of Director, CSIBER, Kolhapur

RTGS Details:

Account Name : Chh. Shahu Central Institute of Business Education & Research Kolhapur.

Account No. : 4332500100012300

IFSC Code : KARB0000433

Bank Name : Karnataka Bank Ltd, CSIBER Campus Branch