Distance Learning Program (DLP)

Diabetic Association of Bangladesh

Re-Exam of Batch 35-37

(Only for Batch 35, 36, or 37)

1) Name *

2) Father's Name *

3) BMDC No *

4) CCD ID No

5) Batch *

6) Mobile *

7) Email *

8) Photo *

Max size: 1MB. (JPG, PNG)

9) BMDC Certificate Copy *

Max size: 2MB. (JPG, PNG, PDF)