First Batch Free Registration

Behavioural Activation Certificate Course

BACC Registration Form

For Health Care Providers

Start Date
28 June 2026

Organized By
BUHS

Registration Fee
Free for First Batch

Please fill up the form carefully. Required fields are marked with red star.

Full Name *

Designation

Organization / Institution

Professional Category

Educational Background

Mobile Number *

Email Address *

Preferred Attendance Mode

Workplace Address

Why do you want to join this course?

Upload Photo Allowed: JPG, JPEG, PNG

Upload NID / Student ID / Professional ID Allowed: JPG, JPEG, PNG, PDF

I confirm that the information provided above is correct.