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: hr_evana@infobitlab.org

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*: Khairul4008@gmail.com

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
infobit2004@infobitlab.org
www.infobitlab.org