Prasad V.
Potluri Siddhartha Indian Society of Systems for
Institute of Technology, Science & Engineering, Amaravati
Vijayawada Chapter
Two Day Workshop on
Finite Element Analysis of Structures (FEAST) Software
(3rd & 4th August 2017)
Registration Form
1. Name : Narendra Kumar Bezawada
2. Date of Birth : 04-07-1987
3. Designation : Assistant Professor
4. Name of Institution : Ramachandra College of Engineering, Eluru
6. Address for Correspondence : D. No:120, Mini Bypass,Hanuman Nager, Eluru.
E-Mail : nari.k1987@[Link]
Mobile No. : 9000076769
7. Educational Qualifications : M. Tech
8. Experience (in years)
Teaching: 10 moths Research: Industry: 1 year
9. Accommodation assistance required: YES / NO
10. Details of registration fees paid:
Name of bank:__________________________ Branch: ___________________
DD No./ NEFT Ref. No.:________________Amount:_________Date:_____________
Declaration
The information provided is true to the best of my knowledge. If selected, I agree to abide by
the rules and regulations of the course and shall attend the course for the entire duration. I also
undertake the responsibility to inform the coordinator in case, I am unable to attend the course.
Place: Eluru
Date: 31-07-2017
Signature of the applicant
Mr/Mrs/Prof/Dr B. Narendra Kumar has been deputed to the two day Workshop on Finite Element
Analysis of Structures (FEAST) Software at [Link] Institute of Technology, Vijayawada.
Signature of Head of the Institution with seal