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Pilot Plant and Process Development Centre (PP & PDC)

Bangladesh Council of Scientific and Industrial Research (BCSIR)


Dr. Qudrat-i-Khuda Road, Dhanmondi, Dhaka-1205

Registration Form
Training Program: PLC & HMI for Industrial Automation
Please complete this registration form and return it to the address overleaf or forhadruetme@gmail.com
(+8801914470787)
Full Name : Certificate Name

National ID No : Enter NID No.


Cell Phone No : Active Hand Phone no
E-mail : Active email ID-Gmail preferable
Profession : Choose your option
Educational Details : Degree: B.Sc. or Diploma Engineering or Equivalent Degree
Subject: Subject Name
Institute: Institute Name
Job details (for Job Holder) : Designation: Click or tap here to enter text.
Organization: Click or tap here to enter text.
Address: Click or tap here to enter text.
Present Address : Click or tap here to enter text.

Permanent Address : Click or tap here to enter text.


Payment Details : Amount: 15000/- Payment Date: Click or tap to enter a date.

Attach the photo of Payment Slip/Cheque

Attach your photo here

Signature with date :

Attach your signature here


Click or tap to enter a date.

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