SEX

    CONTACT NO.

     

    IN CASE OF EMERGENCY THE PERSON TO WHOM CONTACT FIRST

     
     

    IN CASE OF ANY UNDERCOVEREGE OF ANY MEDICLAIM

     
     

    ANY REFERENCE

    The above information as stated are true to the best of knowledge and belief.
    I further declare that I shall abide by the rules and regulation of BANCHBO healing touch

     
     

    FOR OFFICE USE ONLY

    For ONLINE ENROLLEMENT PAYMENT, Please follow following steps:

    Open Donate Now Page > Search Donate option under AXIS BANK ACCOUNT NO – 232010100077552 > Wait few seconds to appear all projects > Search ENROLLMENT for Certified Nursing Assistant / Certified Bedside Assistant Course > Put 1 in unit option >Scroll down cursor > Click on Donate Now button > Fill up all required information > after submission you will received acknowledgement receipt in your provided email address.

      CATEGORY OF COURSE:
      CNACBA

      MARRITAL STATUS:
      SINGLEMARRIEDWIDOW
      ENGAGED IN ANY JOB:
      NoYes
      PROFESSIONAL QUALIFUCATION:
      NoYes
      DECLERATION:
      I hereby declare that all above particulars furnished by me is best of my knowledge & belief. If any times this statement found to incorrect, my candidature shall be liable to cancellation by the BSHSD authority at any time & I shall not be entitled to refund of any fees paid by me to the BSHSD authority.
      I hereby given undertaking that I shall abide by Rules & Regulations of BSHSD and shall not raise any dispute in future over the same rule.

      For ONLINE ENROLLEMENT PAYMENT, Please follow following steps:

      Open Donate Now Page > Search Donate option under AXIS BANK ACCOUNT NO – 232010100077552 > Wait few seconds to appear all projects > Search ENROLLMENT for Certified Nursing Assistant / Certified Bedside Assistant Course > Put 1 in unit option >Scroll down cursor > Click on Donate Now button > Fill up all required information > after submission you will received acknowledgement receipt in your provided email address.

      bvb

        DECLERATION: Please tick in all points
        We will exhibit Banners of Banchbo Sharad Samman and Biswa Sharad Samman in a prominent place(s) of our pujo venue both before and during the pujo.
        We will abide all rules and regulations of Banchbo Sharad Samman and Biswa Sharad Samman.
        We fully agree that, without showing any cause Banchbo Sharad Samman and Biswa Sharad Samman authority have every right to cancel our enrollment after verifying or scrutiny of the application.
        Judges decision is final. No option of reviewing any judgement under any circumstances.
        We will try our level best to cooperate with Banchbo Sharad Samman and Biswa Sharad Samman authority in all aspects.

        We don't have any objections to exhibit our provided pujo clipping in related social media pages related with Banchbo.