BIM: Online Application

Online Application Form

Course Information

Course*

Course Centre*

Time Preference*

Personal Information

Full name*

Date of birth*

Gender* Male Female

Father or Husband's* Father Husband

Father's Name *

Husband's Name *

Mother's Name*

Contact Information

Email address*

Mobile number*

Mailing address*

Permanent address*

Educational Information

Current Employment History

Organization

Supervisor Name

Supervisor Designation

Official email

Phone

Experience Information

Financing Information

Financed by* Self Organization

Sponsor Information

Name organization

Nominating authority

Phone number

Organization address

Payment Information

Payment Amount: 500 TK

Bank Name: Agrani Bank Limited

A/C Name: Director General, BIM (6 Month Diploma)

A/C #: 0200002895831

Slip Number*

Upload Your Photo

Photo*

You need to provide a passport sized image in jpg/jpeg or png format. The image size has to be 100kb or lower.

* required fields