Registraion Form

	M.Tech. (IT in Building Science)
	International Institute of Information Technology, Hyderabad

REGISTRATION FORM

Name*				Course:	IT for Building Science
Designation				Dates:	29 Feb to 02 March 2008
Department*				Timings:	9:30 am to 5:30 pm on all the five days
Institute/Organization*				¹Upto the start of the course subject to seat availability. ²Early registration upto 30 days before the start of the course. ³Attach letter from HOD confirming the full time faculty status. ⁴Attach photocopy of a valid student ID attested by HOD ( Student seats are limited )
	Fees	Regular¹	Early Reg.²
	Professional	Rs.12,500	Rs.10,000
	Full Time Faculty³	Rs.6,000	Rs.4,800
	Full Time Student⁴	Rs.4,000	Rs.3,200
	Hostel (Subject to availability) fees: Rs.300 per day
Address*
Phone*
Fax
Email*
DD No*				Draft payable to "IIIT Hyderabad"
Word Verification		Type the characters you see in picture below:


Kindly download the form and send the filled form along with the draft to: Dr.Vishal Garg Assistant Professor and Head Centre for IT in Building Science International Institute of Information Technology Gachibowli, Hyderabad - 500032 Ph. No. : +91-40-23001967 Ext: 125 Fax: +91-40-23001413 Mobile: +91-9949990900

*Admission would be confirmed after receiving the DD.