Registration Form

1. Details of Your Proposed TRAINING Programme DETAILS Complete either courses
Select (any one) your desire training from Dropdown Selection:
Awareness and development training
Cluster Based development Program
Enterprenouship & Management Development Program
Lead Auditor & Internal Auditor Training
Days of Training
Other?
Proposed Start Date To
2. Your personal and contact details
Title Gender
Full Name* Father’s Name*
Date of Birth: Blood Group:
National ID: Mailing Address:
Email: Contact No.:
Education Information
Degree: Major Subject:
Result: University:
Training Information
Organization: Duration:
Reference 1: Reference 2:
4. Language ability
Bengali English
Sponsor Details CompanySelf-Financed     Paid By: CashCheque Course Fee
DBBL 01718 4820492   Bank: Villege Development Foundation, Dutch Bangla Bank Limited., Uttara Branch, Dhaka, Bangladesh
Criminal Convictions
Do you have any criminal convictions? YesNo If yes, Specify
Declaration
I confirm that, to the best of my knowledge, the information given in this form is true, complete and no information requested or other material information has been omitted. I give my consent to the processing of my data by IMI. I understand that any offer of a place on the above course is subject to my acceptance of the IMI’S terms and conditions, which I have received and read. I understand what they say, and I agree to abide by the conditions set out there. I accept that if I do not fully comply with these requirements, VDF reserves the right to cancel my application and I will have no claim against VDF in relation to this application.