Registration Form

REGISTRATION FORM

[*mandatory fields, registration details will be directly observed in certificate preparation]
Name of the Participant*
Name of the Institution*
E-mail ID*
Mobile number*
Details for payment of registration fee:

Bank Name : Central Bank of India

Account Name : PSG Center for Nonformal and Continuing Education

Account No. : 1481267367

IFSC Code : CBIN0280913

MICR Code : 641016006

Branch : Peelamedu

(Note: Any mode of online payment method shall be used for payment of registration fee (eg. Gpay, Phone pay, UPI payments, IMPS and NEFT etc.,)
Online Payment made for (Rs)*
Any mode of Online payment shall be used for registration fee payment
Transaction number*
Will be used for verification of registration fee payment
Date of Registration*

DayMonthYear
Accommodation required*
Accommodation facilities are available for workshop participants in the College Hostel on chargeable basis. Accommodation fee - ₹ 250/- per day including messing charges.
Accommodation details: Check-in (date & time) *

DayMonthYear
Hour MinutesAM/PM Option
Check-out (date & time) *

DayMonthYear
Hour MinutesAM/PM Option
Proof of Transaction details*

Share screen shot of registration fee payment clearly representing transaction number of payment made for verification
Cancelof
Registration fee transaction details:

Registration fee payment of Rs. 750/- is made towards participation in One Day National Wokshop titled "Emerging Trends in Automotive Component Manufacturing (ETACM 25)".

Transaction details:

Transaction no : {demandDraft63}, Dated {date}.
Should be Empty:

REGISTRATION FORM

Details for payment of registration fee: