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@gmail.com
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 P.V.P.Siddhartha Institute of Technology, Vijayawada.

Signature of Head of the Institution with seal