Mobile Game And Application - Skill Development For Mobile Game And Application

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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