Registration



District (1st Choice: Where you want to do your course): *
District (2nd Choice -> Where you want to do your course):
District (3rd Choice -> Where you want to do your course):
Preferred Training: *
Full Name (Name as in your NID/Birth Registration Number): *
Email (Must be valid and unique. Will use for verification): *
Physically Challenge : *
 Yes    No
Gender : *
 Male    Female  Third Gender
Phone Number (Must Be Valid Mobile Number): *
Birth Date (Birth Date as in your NID/Birth Registration Number): *
Father Name : *
Mother Name : *
Identification Type: *
Identification No: *
Participant Picture (PNG/JPG less then 2MB) : *
Identification Photo (NID/Birth Registration Number) :
Home District : *
Thana : *
Village/House No./Road No./Other Alternative : *
Post Office : *

* All fields are required.

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