Govt.

of the peope’s Republic of Bangladesh, Ministry Of Education, Banglaesh Technical Education Board Affiliated Institution

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Bangladesh Technical Training Center
Head Office t 103/A, West Mugda Para Commissioner Road
(Enam Sardar’s House). 01870-708 161

ADMISSION FROM No.

(The candidate has to fill in easily)
Datet....................................
1.cÖv_x©i c~Y©bvg t evsjvq t...........................................................................................................................................
Applicant Name t ...........................................................................................................................................
2.wcZvi bvg t evsjvq t ...........................................................................................................................................
Father’s Name t ...........................................................................................................................................
3.gvZvi bvg t evsjvq t ...........................................................................................................................................
Mother’s Name t ...........................................................................................................................................
4.Present Address (Including Phone No) t ..............................................................................................................................
...............................................................................................................................................................................
5. Present Address (Including Phone No) t ................................................................................................................
...............................................................................................................................................................................
6.(A) Date of Birth (According to the certificate) t ...................................(B) Admission Date t ...............................
7.Nationality t..................................... 8. Blood Broup.........................9. Religion t.....................................
10. (A) Educational Qualifications (The Latest) t ...............................(B) Passing Year t ..............................

11. Course Name t .............................................................................................................................................

OBLIGATION
I pledge to abide by all the rules and regulations of the educational institution after admission.
Note: that the course fee is not refundable under any circumstances after admission.

Parent’s Signature and Date Candidate’s signature and date