NSDA-Approved · Trainee Registration

Primary Health Care Services (Level-2)

Faith Bangladesh Institute of Allied Health Professionals

Duration

3 months

Batches Open

Applied with us before?

Add Trainee

Date of Enrollment

Batch *

Personal Data

Trainee Name in English *

Trainee Name in Bangla

Date of Birth

Identification Type

Sex *

Person With Disability (PWD)?

Contact Number *

Email ID

Photo (Upload)

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NID/Birth Certificate/Passport (Upload)

Signature Photo (Upload)

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Address & Other Information

Permanent Address

Division

District

Thana

Address

From Rural or Urban Area?

Present Address

Same as Permanent?

Division

District

Thana

Address

Religion

Ethnicity

Educational Qualification

Marital Status

Household Profile

Father's Name in English

Father's Name in Bangla

Mother's Name in English

Mother's Name in Bangla

Emergency Contact Number

Number of Household Members

Source of Household Income

Monthly Household Income (BDT)

Income per Person per Day (BDT)

Do you have any Bank Account?

Skills, Experiences, Past Employment & Income

Received any skills training in the past?

Employment Status Before Training

Amount of Monthly Income (BDT) - Cash

How did you learn about this training?

By submitting, you confirm the information above is accurate to the best of your knowledge.