August 29-31, 2002

Bangalore, India

1. Name:

2. Institution and Departmental address:

3. Student/Faculty

4. Email addresss:

5. Contact address:

6. Experience in VLSI field

7. Can your parent institute support you partially?

8. Do you have a paper in VDAT 2002?

9. Have you received fellowship to attend VDAT before?

10. Do you/your organization have funded projects in the area of VLSI design?

11. Will you be able to help the VDAT organization in some way?

a) Bringing advertisements for VDAT brochure

b) Publicizing VDAT

c) Any other (specify).

12. Attach your resume along with this form

Please print and have your application forwarded by your HOD or Principal of your institute. Send your form to Dr Navakanta Bhat, Devices Lab, Department of ECE, Indian Institute of Science, Bangalore, India, PIN 560012 before July 8, 2002.