. . .
REGISTRATION FORM
1. Name:
2. Designation with Department:
3. Institution:
4. Address for Correspondence:
5. Mobile No and email:
6. Qualifications with Specialization:
7. Experience (in years):
8. Accommodation required (yes/no):
9. Payment Details:
DD No. Date Bank
Date Signature of the Applicant
Sponsorship Certificate
Dr./Mr./Ms ....................................................... . ................................................. 1s an employee of our Institute/Organization and
is hereby sponsored to participate m
the FDP on Computer Simulation
and Visualization Tools for Research ,
if he/ she is selected.
Date Signature of Head of the Institution
(Seal)
•••
'\:I' Faculty Development Programme
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ACADEMIC COORDINATOR
Dr. Jacob Thomas V
Principal
College of Engineering, Kallooppara
COURSE COORDINATOR
Mr. Jaimon Jacob
Assistant Professor
Dept. of Computer Engg.
Govt. Model Engineering College, Thrikkakara
Call (+91) 7736485263
e-mail : [email protected]
IMPORTANT DATES
Last date of receipt of application: 6th July, 2016
Intimation of selection by e-mail: 8th July, 2016
CONTACT US
For further information if any required, please
contact the course coordinator(s) directly
Mr. Jaimon Jacob
Call
e-mail :(+91) 7736485263
Faculty Development Programme
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IHRD
Institute of Human Resources Development
Thiruvananthapuram
Established by Govt. of Kerala
July 11 to July 15, 2016
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