Bangladesh 3rd Youth Internet Governance Forum 2023 Participation Registration Form

If you are a citizen of Bangladesh and aged between 18 to 40, you can apply to the Bangladesh 3rd Youth Internet Governance Forum 2023

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01. Applicant Name : 

*

02. Age (Must be 18 to 40) : 

*
03. Gender : *

04. Division :

*
Required

05. District Name :

*
06. Postal Address : *

07. Occupation :

*
Required

08. Organization Or Institution Name :

*

09. Designation or Job Title :

*
10. National Identification (NID) Number  : *

11. Mobile Phone Number (Ex: +880) :

*

12. Email Address :

*

13. Social Media Profile Link (Ex: Facebook, Twitter, Linkedin) :

*

14. Which stake holder community do you belong to? :

*
Required

15. Affiliation (Did you attend any internet governance related program as mentioned below) :

*
Required

16. How would you engage, participate and contribute to the Youth community during and after the conference?

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17. Do you agree to include your information for future use by Youth IGF Bangladesh?

*
Required

18. Must be attend entire 3 days (9.00 to 6.00 PM)

*
Required
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