Registration : ROBOCON 2018

Details of Institute / College

Submitted by:  on dated 29/01/2018

Name of Institute / College:

Name of Principal:

Phone Number:

Address of Institute / College:

Pin Code:

Details of Participant

Name of Contact Person:

Mobile No.:

Email ID:

Bank Details

DD Number:

DD Amount:

Date of DD:

Name of Bank:

Signature : . . . . . . . .

Stamp / Seal of College

Date :

Place :

Prof. SunilKumar Bhagat
Coordinator - Registration & Website Committee
Professor & Head, Department of Information Technology,
MIT Academy of Engineering (MIT AOE)

MIT Academy of Engineering (MIT AOE)
Dehu Phata, Alandi(D), Pune- 412 105, India
Mobile No. : +91 7972645212
Phone : +91 - 020 - 30253555