Students Registration Form

Please fill up the form carefully then submit

Personal Information

Student Name*	Father's Name*
Mother's Name*	NID Number
Date Of Birth*	Nationality*
Religion*	Gender*

Contact Information

Mobile Number*	Phone Number
Email Address*
Present Address:	Permanent Address:(Same as Present Address)
Division*	Division*
District*	District*
Address*	Address

Academic Information

Institution Name*	Department*
Student Id*	Degree*
Year*	Semester*
Supervisor Name*	Supervisor Designation*
Supervisor Email Address*

Log In Information

Email Address*
Password*	Confirm Password*
Attach Document	Upload Student's Passport Size Photo*
Notes (If any)
My Declaration (Please click the Checkbox)
I (Undersign Person) hereby declare that if this / My educational Institution recognized as a member according to by the laws of Association, I'll abide by all these rules and regulation and take part all activities of the association.
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