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CPD Requirement List

* = Required fields,
- Bangla Characters are not accpeted

Name:* (Block Letters)

Email Address:*

Mobile Number:*

Date:

Service:

Package: If Need To Change Package Click Here

Payment Clearance with Price in BDT: (ex: Select partial if payment in 2 installments)

Payment Method:*

Present Address:* (where any courier can reach)

Name of the Study Title (Block letter):*

Sample Size (Applicable for Dissertation/Thesis):* (if not known please write - 0)

Social Network ID (Viber/Whats App):* It will be used in Correction Phase

Any Necessary Comments: