BADAS DLP
Diabetic Association of Bangladesh
Shahbagh, Dhaka- 1000, Bangladesh
Registration Form
1. Student's Name
2. NID No
3. Father's Name / Spouse Name / Mother's Name
Select Relation
Father's Name
Spouse's Name
Mother's Name
5. WhatsApp No
4. Present Address
6. Emergency No
7. Email
8. Working in BADAS / Not Working BADAS
Working in BADAS
Not Working in BADAS
9. BMDC No
Name of Institute
Select Institute
Affiliated Association
BIRDEM
NHN
BIHS
ICHRI
Others
Name of Association
10. Image of BMDC Certificate (less than 200KB)
Choose file
11. MBBS (Passing Year)
12. MBBS Certificate Image (less than 200KB)
Choose file
13. SSC / Equivalent Passing Year
14. Image of SSC / Equivalent Certificate (less than 200KB)
Choose file
15. Study Mode
Online
Offline
Online Session Time
Morning
Evening
Offline Location
Select Location
Dhaka
Chattogram
Faridpur
Khulna
Sylhet
Rajshahi
Rangpur
Offline Session Time
Morning
Evening
