International Senior Project Conference in Engineering and Technology

1. International Senior Project Conference in Engineering and Technology Bangkok, Thailand 27-29 March 2014 CONFERENCE APPLICATION FORM 2 1 PROJECT INFORMATION Project Title: Please check the appropriate engineering field (only one) that best corresponds to the project’s nature. Mechanical Engineering Civil Engineering Computer Engineering Chemical Engineering Poster Presentation Oral Presentation No Preference Environmental Engineering Electrical Engineering Electronic Engineering Embedded System Engineering Industrial Engineering Telecommunication Engineering Material/Tool Engineering Instrumentation Engineering Control System Engineering Food Engineering Other Mechatronics Engineering Preferred format of presentation: Required Project Abstract : Please type your project abstract in the supplementary Word document file (1-page limit) STUDENT INFORMATION Please provide information of the senior student(s) in the project (the conference proceeding will use the same name order provided below). At least one senior student must attend the conference for a project presentation. Print or Type 1. Last Name Middle Name Mr./Ms./Mrs. First Name Department Institute/University E-mail: Mobile No. (needed for confirmation) I am registering as: (check all that apply) Technical Paper Presenter Poster Session Presenter Conference Attendee Print or Type 2. Last Name Middle Name Mr./Ms./Mrs. First Name Department Institute/University E-mail: Mobile No (needed for confirmation) I am registering as: (check all that apply) Technical Paper Presenter Poster Session Presenter Conference Attendee Print or Type 3. Last Name Middle Name Mr./Ms./Mrs. First Name Department (see next page)

2. NOTE: BOTH PAGES MUST BE RETURNED PROJECT TITLE: Institute/University E-mail: Mobile No. (needed for confirmation) I am registering as: (check all that apply) 3 Technical Paper Presenter Poster Session Presenter Conference Attendee FACULTY ADVISOR INFORMATION Print or Type 1. Last Name Middle Name Prof./Dr./Mr./Ms./Mrs. First Name No No Yes Yes Department Institute/University E-mail: (needed for confirmation) Are you planning to attend the conference?: (Check one) Print or Type 2. Last Name Middle Name Prof./Dr./Mr./Ms./Mrs. First Name Department Institute/University E-mail: (needed for confirmation) Are you planning to attend the conference?: (Check one) Please return this form with all requested information and the project abstract to ICE office within 10 February 2014 ((preferably) E-mail: ice_engineering@kmutt.ac.th and Praphasiri@gmail.comTel. 02-470-9024 -28