ISLAMIC UNIVERSITY Department of English Alumni Reunion & Silver Jubilee Celebration Registration Form
Event Date: 9 & 10 March 2018

Event Address: Department of English, Islamic University, Bangladesh
Contact us at 071-62201-6, Ext. 2221, mobile: 01711201836, 01712191633
E-mail: <rashiduzzaman5@gmail.com>

Email address *
Instructions to follow
Step 1:
Deposit the registration fees into the bank account or bKash wallet mentioned in the 'Payment Method' section. Pay for different types of participants according to the following chart (preserve the bank receipt or bKash reference number):
1. BDT 1000 / alumnus
2. BDT 800 / spouse
3. BDT 600 / single child (aged 5 years and above)
4. BDT 500 / single driver
5. BDT 800 / single guest

Step 2:
Fill out the registration form carefully and see that you have filled the required fields before submission.

N.B. Please go to www.iueala.info and sign up there by giving necessary information and photograph with a view to building up a comprehensive database of the English Alumni.

Name *
Your answer
Session *
Your answer
Mobile no. *
Your answer
Occupation *
Your answer
Organization
Your answer
Present Address *
Your answer
Number of participant(s) including the alumnus *
Required
Guest types (if applicable)
Payment Method *
Amount Paid (BDT) *
Your answer
Bank Name, Receipt No. & Date / bKash Ref. No. & Date *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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