TechNet IT Admission Form
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Admission Date: *
MM
/
DD
/
YYYY
Home District: *
Preferred Course: *
Student's Name: (CAPITAL LETTER) *
Student's Mobile Number: *
Father's Name: (CAPITAL LETTER) *
Guardian's Mobile Number: *
Mother's Name: (CAPITAL LETTER) *
Email: *
Date of Birth: *
MM
/
DD
/
YYYY
Nationality: *
National ID / Birth Certificate Number: (Optional) *
Gender *
Religion: *
Educational Qualification: *
Profession: *
Present Address: *
Permanent Address: *
Payment Amount: *
Chose Company Payment Method : *
Your Payment Number: (আপনি যে নাম্বার থেকে টাকা পাঠিয়েছেন) *
Transaction Number: *
Promo Code (Special Offer Coupon): (if any) *
Class Time: *
Offer Amount *
Declaration: I declare that the information provided in this form are correct, true and complete to the best of my knowledge and belief. *
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