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ASHIQUE COMPUTER TRAINING CENTER

Founder & Director: KM Bashir Ullah

Applicant’s Personal Details

Department -- select A department -- Office Management Graphics Management Basic Hardware Multimedia & Video Editing On line

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Batch : Roll No : Check no : Time Duration:

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Class Time : Starting Date : Closing Date : Course Duration :

Personal Details :

Student Name (In English) :
Student Name (In Bangla) :
Father's Name :
Mother's Name :
Date of Birth :
Nationality :	Country select Bangladeshi Other's Country
Religion :	Select option Islam Hindu Christan Other's
Occupation :	Select option Student Job Business Other's
Gender :	Male Female
Blood Group :	Blood group select A+ O+ B+ AB+ A- O- B- AB-
Marital Status :	Single Married
Local Guardian Name :	Mobile:

Present Address :

House No : Flat No : Floor : Side :

Road : Block No : Mohallah : Post Office :

Upazila : District :

Permanent Address :

Village : Post Office : Upazila : District :

Mobile No : Res : Req : E-mail Address :

Education & Qualification:

Name of Examination	Name of Institute	Group	Passing Year	Board / University	GPA / Class

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