National Agriculture Training Academy
Government of the People's Republic of Bangladesh
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Name of the Training Course
Select Course Name
Course Name not available
Duration
Service ID No. (if any)
Name of the Participant:
Bengali:
Mobile Number: (+88)
English:
E-Mail:
Designation:
Pay Grade:
(Ex.: 12 or 13 etc.)
Present Address:
Village/Moholla/House No.:
District:
Select District
District not available
Thana:
Select District first
Post Office:
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Permanent Address:
Same as Present Address
No
Village/Moholla/House No.:
District:
Select District2
District not available
Thana:
Select District2 first
Post Office:
Select state2 first
Joining Date in Service:
Date of Birth:
Gender:
Please Choose
MALE
FEMALE
OTHERS
Marital Status:
Please Choose
MARRIED
UNMARRIED
DIVORCED
WIDOWED
Blood Group:
Please Choose
A+
A-
AB+
AB-
B+
B-
O+
O-
Religion:
Please Choose
ISLAM
HINDU
CHRISTIAN
BUDDHISM
OTHERS
National ID:
Name of Highest Degree
Subject
Passing
Year
Board/University
Please Choose
S.S.C./EQUIVALENT
H.S.C./EQUIVALENT
GRADUATION/EQUIVALENT
MASTERS/EQUIVALENT
Phd./EQUIVALENT
Organization Information:
Organization Name:
Controlling Authority:
Telephone:
Website:
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