Registration for SEIP Project

Select Course:(In SEIP project one person will be eliigible for one course only)

First Preference*:

Name:*

Father Name:*

Mother Name:*

Gender:*

National ID:*

Date of Birth:*

Religion:*

Ethnic Group:*

Mobile:*

Email:*

Is Employed? Yes No

Monthly Income:*

Company Name:*

Designation:*

Present Address

Adress:*

City:*

Post Code:*

Division:*

District:*

Sub-District:*

Permanent Address

Adress:*

City:*

Post Code:*

Division:*

District:*

Sub-District:*

Highest Academic Achievment

Level of Education:*

Institute:*

Subject:*

Year:*

Photo

image size should be 300 x 300 (Max 100 KB)in JPG format

Security

Type the Code:*

SOCIAL

CONTACT

LOCATION

home

facebook

group us on fb

youtube

For Dhaka Division: Hotline: +8801777904554 (from 9:30am – 6:00 pm)

For Chittagong Division: Hotline: +8801777904554 (from 9:30am – 6:00 pm)

For Dhaka Division: BASIS Institute of Technology & Management (BITM) BDBL Bhaban (3rd Floor - East), 12 Kawran Bazar, Dhaka -1215.

For Chittagong Division: BASIS Institute of Technology & Management (BITM) R.I Tower (4th Floor), 23/A M M Ali Road, Golpahar Circle (Beside Evergreen Health Center)