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APPLICATION FORM
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1a. Full Name (in English)
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1b. Full Name (in Bengali- বাংলা)
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2. Date of Birth:
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3. Present Address:
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4. Permanent Address:
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5. Mobile Number:
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6. Emergency Contact Number:
(Must be a Mobile Phone Number)
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7. E-mail:
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8a. Credential:
(Please select a document proving your identity)
8b. Credential Number:
(Please write the number of the document checked above)
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9. Interested to Learn:
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10. Musical Background (if any):
(Please mention, in brief, if you have ever received any musical training in the past)
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11. Education:
12. Reference of Guru/ Teacher/ Others (if any):
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13. Remark (if any):
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