REGISTRATION FORM 2013 Baja SAE KOREA at Yeungnam University 17 July - 20 July 2013, Yeungnam University, KOREA

Please complete and return this form for each team entry as soon as possible. Please ensure you submit your registration form before Friday, May 24, 2013.

Team Information
Name of University or College: Bangalore Institute of Technology Name of car : STK-13 Name of group: Stratos Number of team members: 16 persons (Faculties: 1 Students: 15 )

Faculty Advisor Information

Name of advisor: Dr. Vidyashankar S. Department: Mechanical Engineering Postal address: Bangalore Institute of Technology, Department of Mechanical Engineering, K.R. Road, V.V. Puram, Bangalore: 560004 Telephone Number: +919844259968 Fax Number: Cell phone number: E-mail address: svs_iste@yahoo.co.in

Team Captain Information

Name of advisor: Ayan Roy Department: Mechanical Engineering Postal address: 1580/9, 5th A Cross, 22nd Main, BSK 1st Stage, Bangalore: 560050 Telephone Number: +918050820744 Fax Number: Cell phone number: E-mail address: mech.ayanroy18@yahoo.co.in

Roster
Name
Residents registration number (Korean students) Passport Number (International students)

Department

Contact telephone number

Responsibility

1.

Our team makes the pledge that all the contents in this form have true. We promise to be familiar with the safety guidelines set out by the host and cooperate by conducting sincerely in the contest.
. Team Captain (signature) Faculty Advisor (signature) (date) (date)