Brain Train America

Student Name (English) *

Student Name (Native Language)*

Year *

Admission Date*

Gender*

Religion*

Date of Birth *

Place of Birth Country*

Mother Language*

SMS Receiver*

SMS Mobile No. *

NID/Birth Certificate/Passport No*

User Name (for login)*

Email (for login)*

Guardian Soical Media Link

Permanent Address:*

Contact Address:*

Title*

Father's Name*

Profession*

Mobile No. *

Qualification*

If Father/Mother is Lives in Abroad

Name of other Daughter/Son/Ward_1 (BTA )

Name of other Daughter/Son/Ward_2 (BTA )

Title*

Mother's Name*

Profession*

Mobile No. *

Qualification*

Present Institution*

Present Class*

Present Roll*

Student Picture

Student Father's/Mother's Picture

Profile Picture

NID/Passport/Birth Certificate