Example Of Application From National Youth Training Academy (NYTA)

Affiliated by Government of the People’s Republic of Bangladesh

(Seal)

National Youth Training Academy (NYTA)

A Project of Nyta Social Foundation (NSF), Govt. Reg. No- 3212

Founded- 1992 AD

Maniknagar Campus- 6, Maniknagar Bishwa Road, Dhaka

Tikatuli Campus- 2, Hatkhola Road, Tikatuli, Dhaka

Mobile- 01726-542991, 01726-542992, 01726-542993

Phone- 9563173, Web: nytabd.com, E-mail- nyta1992@yahoo.com

Serial no- 11887

Admission Form

Name of the Course- Dcovy

1.       Name of Applicant (In Bengali) (In English)- Fazle Rabbi Tusher

2.       Name of Father/ Husband/ Guardian (In Bengali) (In English)- Nurul Hadi Haque

3.       Name of Mother (In Bengali) (In English)-Ferdous Ara

4.       Present Address (Phone and Mobile No)- 21/6, Gopibagh, Arai Lane, Dhaka- 1203

5.       Permanent Address: Village- Umpaddi Lasai, Police Station- Kabir Hat, District- Noakhali

6.       Educational Qualification- H.S.C (2017)

7.       Date of Birth (As Per Certificate)- 22 August, 1999 AD

8.       Nationality- Bangladeshi

9.       Description if any previous experience or training is received-

10.   Blood Group- O Positive

11.   Information as above mentioned and based on the given information I am applying for the admission in this institute. I will be obligued to follow all of the rules of this institute.

Signature and date of the guardian

Sd/ Illegible

Date- 21/07/2018 AD

Signature and date of the applicant

Filled up by office

Courser fee- 6000/-, Name of the course- Dcovy, Course duration- 6 months

1^st installments- 3500/-, Receipt no- 12398, 2^nd installments- ..............., Receipt no- .......................

ID no- 11883, Date of admission- 21/07/2018 AD, Date to start to the course-

Batch no- Days_ Saturday/ Sunday/ Monday/ Tuesday/ Thursday,                           Time-

Sd/ Illegible

Register

Sd/ Illegible

Accountant

........................ Director