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* Full Name

* E-Mail

* Contact No

* Gender

Present Address

Permanent Address

Educational Qualification

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Facebook ID

NID No

* Interested Course

* Daily Dars Time

* Payment Transaction Last 3 Digits *

I will follow all rules & regulations of the academy.

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*Admission Fee Tk. 510/- Only. (Bkash/Nagad No: 01772825902)