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Infobit Lab: Registration Form

This document is a registration form for a 3-day online training course on seismic assessment and retrofit design of existing reinforced concrete buildings from March 26-28, 2021. It requests contact information, payment details, and address information from the trainee. The registration fee is 1500 BDT to be paid by cash or Bkash. Required fields are marked with an asterisk.

Uploaded by

Khandaker Khairul Alam
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© © All Rights Reserved
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95 views1 page

Infobit Lab: Registration Form

This document is a registration form for a 3-day online training course on seismic assessment and retrofit design of existing reinforced concrete buildings from March 26-28, 2021. It requests contact information, payment details, and address information from the trainee. The registration fee is 1500 BDT to be paid by cash or Bkash. Required fields are marked with an asterisk.

Uploaded by

Khandaker Khairul Alam
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Research Study, Consultation and Capacity improvement on

Procurement & Supply Management (PSM),


Information Technology Enabled Services (ITES),
CME Infrastructure Technologies (CIT) through business management
innovation

REGISTRATION FORM Note to fill-up :


(1) Mandatory fields are indicated by (*)
(2) Send filled up registration form to: [email protected]

Name of the Training: 3 Days e-Training Course on Seismic Assessment and Retrofit Design of existing RC Buildings.

Duration : 26-28 March, 2021 Batch No : 6

Training Venue : Online Classroom(Non Residential) Residential

Course Fees: Registration Fees (BDT) Course Fees (BDT) Total Fees (BDT)
1500/- 0 1500/-

Payment Details : Cash Bkash

Details of the Trainee : Fill Up Below


Name of the Trainee*:
KHANDAKER KHAIRUL ALAM
(Block Letter)

Date of Birth*: DD MM YYYY IEB Membership


F-13266
01 02 1978 (if applicable):

Organization*: Soil And Structure

Designation*: Managing Director Academic Qualification *: B.Sc in Civil Engineering

Institute Name*: Bangladesh Institute of Engineering and Technology Passing Year *: 2001
Cell No.*: 0771965563 Email*: [email protected]

Mother’s Name: Jahanara Khandaker

MAILING ADDRESS *

House # Abokash, Flat # B5, ICDDRB housing, Milkvita Road, Mirpur - 7

PERMANENT ADDRESS

Vill: Mushuddi, PO: Mushuddi, P.S: Dhanbari, Zilla: Tangail

Signature& Date:

+ 8801977714280
Address :218, Sahera Tropical Center
InfoBit Lab (Level#12; Suite#1204)
Elephant Road, Dhaka-1205, Bangladesh
[email protected]
www.infobitlab.org

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