House-21, Road No-06, Block-D, Niketon Housing, Gulshan-1, Dhaka-1212, Bangladesh.
N
R
B
CIP
Association
Reg No: Dha-09739
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HOME
ABOUT US
NRB CIP Association
Aim & Objective
President’s Message
General Member List
Executive Members List
Advisory Panel
Constitution
History
MEMBERSHIP
Eligibility
Become a Member
Member Query
GALLERY
Print Media Coverage
Electronic Media Coverage
Photo Gallery
Video Gallery
Events
CONTACT US
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N
R
B
CIP
Association
Reg No: Dha-09739
+8801311001777
Email:
[email protected]
HOME
ABOUT US
NRB CIP Association
Aim & Objective
President’s Message
General Member List
Executive Members List
Advisory Panel
Constitution
History
MEMBERSHIP
Eligibility
Become a Member
Member Query
GALLERY
Print Media Coverage
Electronic Media Coverage
Photo Gallery
Video Gallery
Events
CONTACT US
HOME
ABOUT US
NRB CIP Association
Aim & Objective
President’s Message
General Member List
Executive Members List
Advisory Panel
Constitution
History
MEMBERSHIP
Eligibility
Become a Member
Member Query
GALLERY
Print Media Coverage
Electronic Media Coverage
Photo Gallery
Video Gallery
Events
CONTACT US
HOME
ABOUT US
NRB CIP Association
Aim & Objective
President’s Message
General Member List
Executive Members List
Advisory Panel
Constitution
History
MEMBERSHIP
Eligibility
Become a Member
Member Query
GALLERY
Print Media Coverage
Electronic Media Coverage
Photo Gallery
Video Gallery
Events
CONTACT US
Become a Member
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CIP ASSOCIATION FORM ONLINE
Your Passport Size Photo
*
Accepted file types: jpg, png, pdf, Max. file size: 10 MB.
1. Applicant’s Name
*
2. Father’s/Husband’s Name
*
3. Mother’s Name
*
4. National ID No
*
5. Date of Birth
*
MM slash DD slash YYYY
6. Selected CIP Country Details
Name of Country:
*
Year:
*
Category:
*
7. Country of Residence
Name of Country:
*
Contact Address:
*
Contact Address:
*
Phone:
*
Mobile:
*
8. Present Workplace Address (Overseas)
Country
*
Address
*
Phone
*
Email
9. Present Address (Overseas)
Country
*
Address
*
Phone
*
Mobile
*
E-mail
10. Permanent Address in Bangladesh
BD Phone:
*
BD Mobile:
*
Contact Address
11. Contact Address in Bangladesh
Phone:
Mobile:
12. Next of Kin in Bangladesh
Name:
Contact Address:
Phone:
Mobile:
13. Education Qualification
Education Qualification
14. Passport’s Details
Bangladesh Passport No
Place of Issue
Date of Expire
MM slash DD slash YYYY
15. If you have any company/organization of ownership in Bangladesh
Name Company
Address:
Number of Ownership:
Designation:
Phone:
Mobile:
16. If you have any company/organization of ownership in Foreign
Name Company:
Address:
Number of Ownership:
Designation:
Phone:
Mobile:
17. Whether previously selected for CIP (NRB)*
*
Yes
No
Applicant’s signature & date
*
Accepted file types: png, jpg, pdf, Max. file size: 10 MB.
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