Admission Form - Professional Diploma In Company Management (PDCMP)

APPLICATION FORM FOR ADMISSION

Professional Diploma In Company Management (PDCMP)

1. Program

2. Student & Parents

3. Education & Exp.

4. Review & Submit

Required Information Missing: Please select your Semester and verify program information before proceeding.

PROGRAM & APPLICATION DETAILS

ID No:

Application Serial No:

Semester *

Please select a semester.

Program:

Batch:

Required Fields Missing or Invalid: Please correct the highlighted fields below before continuing.

STUDENT'S PERSONAL INFORMATION

First Name *

First name is required.

Middle Name

Last Name *

Last name is required.

Applicant Photo *

Please upload a valid passport-sized photo (JPG, PNG, max 2MB).

Max 2MB (JPG, JPEG, PNG, GIF).

Date of Birth *

Please provide a valid date of birth in the past.

Place of Birth *

Place of birth is required.

Gender *

Please select your gender.

Blood Group

Nationality *

Nationality is required.

Religion *

Religion is required.

Cell / Mobile No *

Please provide a valid 11-digit mobile number (e.g. 017XXXXXXXX).

Email Address *

Please provide a valid email address.

Social Network ID / LinkedIn

National ID No (NID)

Passport No

Present Address *

Present address is required.

Permanent Address *

Permanent address is required.

PARENT'S / GUARDIAN'S INFORMATION

Father's Name *

Father's name is required.

Father's Contact No *

Please provide a valid 11-digit mobile number.

Mother's Name *

Mother's name is required.

Mother's Contact No *

Please provide a valid 11-digit mobile number.

Parents' Permanent / Present Address

Required Fields Missing or Invalid: Please review the education and experience fields below.

EXAM & ACADEMIC QUALIFICATIONS

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Examination	Name of Institute	Board / University	Group / Major	Grade / CGPA	Passing Year
SSC / Equivalent
HSC / Equivalent
Diploma
Bachelor / Degree
Masters
Others / Professional

Please provide details of your highest completed and relevant academic examinations.

PROFESSIONAL EXPERIENCE (IF ANY)

Work Experience / Job History / Relevant Achievements:

Please review your information and accept the declaration before submitting.

APPLICATION SUMMARY & REVIEW

Mohammad Ali

PDCMP Spring 1 (Batch 27)

[email protected] | 017xxxxxxxx

Date of Birth: -

Gender & Blood: -

Nationality: -

Religion: -

NID / Passport: -

Father's Info: -

Mother's Info: -

Present Address: -

Permanent Address: -

PAYMENT INFORMATION

Academic Qualifications Summary

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Examination	Institute	Board / University	Grade / CGPA	Year
Exam details will appear here after completing Step 3.

Bank Payment Details

Bank Name: Janata Bank PLC

Branch: DIU Branch, Ashulia, Savar, Dhaka

Account Name: FCTB - PDCMP Program

Account No: 0100012345679

Routing No: 125261547

Admission Fee: BDT 500/- (Non-refundable)

Please deposit the admission fee at any branch of the above bank and attach the bank deposit slip with your application form.

I hereby solemnly declare that all information submitted in this application form is true, accurate, and complete to the best of my knowledge. I understand that any false information will result in immediate disqualification. *