University Ref: Office use only

APPLICATION FORM Sri Lanka Institute of Information Technology (SLIIT) ROBOFEST 2012

Robot Name :-

Team Leader :-

University :-

Department :-

Team Information (maximum of 5 students for a team)

Student Name University ID No. E-mail Address Contact Number Signature

Duly completed application forms should be posted to the address given below or scanned and

emailed to robofest@sliit.lk on or before 1st July 2012.

Dr. Lasantha Seneviratne

Coordinator - Robofest 2012

Sri Lanka Institute of Information Technology

New Kandy Road, Malabe.