Online Registration Form

LICT Course Title

Internship Program Name
*

1.Personal Information

Full Name
*
Father's Name
*
Mother's Name
*
Present Address
*
Permanent Address
*
Profession
*
Phone
Mobile
*
Email
*
National ID Card
*
Blood Group
*
Date of Birth
*
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2.Local guardian's contact details*

3.Academic Qualification ( Last Degree )

Exam
Major/Group
Board
*
Institute
*
Result
*
Pass Year
*
Course Duration
*
More Entry

4.Technical Skill

A.Skill Information
*

5.Job Exprience (Optional)

Company
Position
Duration
Responsibilities
More Entry

6.Project Experiences (Optional)

name
Porject Url

11.Language Proficiency*

Language Speaking Reading Writing Listening
Bangla
English

12.Attach File

Recent Photograph(.jpg/png)
*
National ID Card
Upload CV(PDF)
Technical Certificate(PDF)