Telecommunications Staff College        

Outstanding FacilitiesLuscious Campus

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Outstanding Facilities

The lovely campus houses the academic-cum administrative building,

Luscious Campus

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REGISTRATION FORM

Telecommunications Staff College, Gazipur

T-64th Foundation Training Course

(May 24, 2017 – November 19, 2017)

Personal Information

Full Name (English)

:

(As in Certificate)

Full Name (Bangla)

:

Preferred short name

:

(for Name badge)

Gender

:

Date of Birth

:

Marital Status

:

Blood Group

:

Educational Qualifications (Starting with the most recent)

Degree

Board/University

School/College/Department/Institution

Major Subjects

Passing Year

Result

Employment Statement

Present Designation

:

Address of present Posting

:

Office telephone Number

:

Date of first joining in government service

:

Name of BCS Cadre

:

BCS Batch No

:

Cadre ID (if any)

:

Date of Joining in current position

:


Contact Details

Present Address

:

Personal Email

:

Permanent Address

:

Personal Mobile

:

Special area of interest/Co-curricular activities (Sports, music, debate etc. if any):

N.B. As there is no daycare facilities at TSC participants with child will not be allowed.

Other Information

Father's Name and Profession

:

Mother's Name and Profession

:

Spouse's Name and Profession

:

Number of Children

:

Age of youngest child

:

Birth Identification Number (If any)

:

National Identification Number (If any)

:

Passport Number (If any)

:

Religion

:

In Case of Emergency

Name of contact person

:

Address of contact person

:

Relationship with the person

:

Mobile Number

:

Health Details

Age (Years) : 

Height (cm) : 

Weight (Kg) : 

Are you suffering from any chronic illness (please specify if applicable) : 

Hypertension

Heart disease

Diabetes

Asthma

Low back pain

Hernia

Is any member of your family (father, mother, brother, sister, others) suffering from any of the above stated chronic illnesses?

Are you taking any medicine for long time on regular basis?

If Yes, please specify :

Do you have any history of any major surgery?

If Yes, please specify :

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File size not more than 80 KB and in JPG or JPEG or PNG format.

* If registration is not successful (in case of not getting confirmation email), please download registration form from the download menu, fill it up and send it to tscftc@gmail.com