| Name |
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| Membership Class |
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| Qualification |
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| |
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| Organization |
| Name |
|
| Address |
|
| Designation |
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| Phone No |
|
| Email ID |
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| Expertise ( Please tick the appropriate box ) |
| Hardware |
Analog Circuit Design |
|
| Digital Discrete / IC Design |
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| Microprocessor 8/16/32 bit Design |
|
| Micro Controller 8/16/32 bit Design |
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| Power Electronics Design |
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| Analytical Instruments |
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| Control and Instrumentation |
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| Distributed Control Systems |
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| Embedded Systems |
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| Others |
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| |
| Software |
Assembly Language Programming |
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| C/C++ Programming |
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| VC++ Programming |
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| VB Programming |
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| Oracle Programming |
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| Java Programming |
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| Others |
|
| Are you willing to spare your expertise for the benefit of Electronic Community |
Yes
No
|
| Date |
/
/
( dd/mm/yyyy ) |
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