BITS Pilani, Dubai Campus (BPDC)

Refer a Friend Programme

Referral form

Section 1: Referrer Details

Referrer Name: 

BITS ID No.: 

Contact Number: 

Email ID: 

Section 2: Details of Candidate referred

Name of the referred candidate: 

Date of Birth:  (DD/MON/YYYY)

Programme Interested:  

Location ( City, Country):  

Contact number (with dialling code):  

Referred candidate's Email ID:  

School / Uni Name:  

For Refer a Friend Programme terms and conditions click here

I agree to the terms and conditions of refer a Friend Programme.