K L WIG CMET AIIMS
Registration Form:   Workshop

 

To

The Professor Incharge

CMET, AIIMS

Through Unit Head / Head Of The Department

Madam, 

I wish to attend the workshop as per the details given below.

 

NAME

DR………………………………………………………………………………………………………….  (as you want in your certificate, in capital letter)

Designation

 

Department

 

Phone Number

Land Line                                Extn.

Mobile Number

E-Mail Address

 

Please send an e-mail to cmet@aiims.ac.in ,

for future correspondence, otherwise any mail from CMET, may go to your junk mail folder.

Indicate your preference, choose only one.

Workshop

Date & Time

Tick Mark (ό)

Information Retrieval in Health Sciences

10-11 August 2005,    2.00-5.00 PM

 

Digital Photography

(Must bring a digital camera for the workshop)

24-25 August 2005,   2.00-5.00 PM

 

 

 

 

Signature of the Applicant

 

I nominate, Dr…………………………………………of my department…………………………….. for the workshop as per the schedule selected above.

 

 

 

Signature of the Unit Head/ HOD

Office Seal

 

 

 

Submit your application through proper channel
on or before 5th August 2005 at CMET

 

 

You can use the photocopy of this form