BASIS Students Forum-BSF

Team Information

This information is required to know about your Team. Please give the Valid information of your Team. Please write Mobile and Email address as per following Guideline. Example - Mobile Number as 01........94; Email Number as: [email protected]

NOTE:

***Faculty member from university or moderator of any IT related club in the university/institute can join as Mentor.

***At Least 2 Female executive member mandatory.

Contact Information

For any query

Coordinator,
BASIS Students Forum
Bangladesh Association of Software and Information Services (BASIS)
BDBL Bhaban (5th Floor), 12 Kawran Bazar, Dhaka -1215 Phone: +880 96 12322747
Email: [email protected]

Application Form

Location *

Name of Academic institution *

Year*

Mentor Name *

Mentor Phone Number *

Mentor E-mail *

Mentor Photo * (Max:1MB)

Convener Name *

Convener Phone Number *

Convener E-mail *

Convener Photo * (Max:1MB)

Co-Convener 1 Name*

Co-Convener 1 Phone Number*

Co-Convener 1 Email Address*

Co-Convener 1 Photo * (Max:1MB)

Co-Convener 2 Name *

Co-Convener 2 Phone Number *

Co-Convener 2 Email Address *

Co-Convener 2 Photo* (Max:1MB)

Executive Member 1 *

Phone Number *

Email Address *

Executive Member 1 Photo* (Max:1MB)

Executive Member 2 *

Phone Number *

Email Address *

Executive Member 2 Photo* (Max:1MB)

Executive Member 3 *

Phone Number *

Email Address *

Executive Member 3 Photo* (Max:1MB)

Executive Member 4

Phone Number

Email Address

Executive Member 4 Photo (Max:1MB)

Executive Member 5

Phone Number

Email Address

Executive Member 5 Photo (Max:1MB)

Executive Member 6

Phone Number EM7

Email Address

Executive Member 6 Photo (Max:1MB)

Executive Member 7

Phone Number

Email Address

Executive Member 7 Photo (Max:1MB)

"Show Your Commitment to the ICT Industry - Provide A voice for the Future"

Team Information

NOTE:

Contact Information

Application Form

12 Kawran Bazar, Dhaka -1215

[email protected]

16488

Student's ForumRegistration

"Show Your Commitment to the ICT Industry - Provide A voice for the Future"

Team Information

NOTE:

Contact Information

Application Form

12 Kawran Bazar, Dhaka -1215

[email protected]

16488