Bpti Admission Form

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Name Of the Course

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Name (In English Block Letters)

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Name (In Bengali)

Cell No

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Place Of Birth

Religion

Father's Name And Occupation

Present Address

Date Of Birth

Nationality

Mother's Name And Occupation

Permanent Address

Marital Status (Specify Children if Any)

Educational Qualification

edu qual

B.Sc Institution Name

HSC Institution

SSC institution

B.Sc Degree(Mechanical/Electrical)

HSC/Diploma

SSC

B.Sc Year

HSC/Diploma Year

SSC Year

B.Sc Result

HSC/Diploma Result

SSC Result

Any Other Specific & Additional Qualification

Medical Status

medical Status

Heigh

Any Disease

Blood Group

Weight

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Course Fee Information:

1.Registration Fee 1000/= Taka

2.Course Fee 20,000/= Taka

Course Fee can be paid in two equal installments. (TK 10,000/= in 1st week and rest in 7th week)

Payment Information:

Bkash Account Number : +8801552381296

Type Bkash Transaction ID/last 4 Digit

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I,do hereby declare that the information stated above are true and have not hidden any of the above information.

Bpti Admission Form

Educational Qualification

Medical Status

Course Fee Information:

Payment Information:

Head Office

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Chattagram Branch

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