1. Student Name (English) :		Student Name (বাংলা ):
Student Birth Registration Number :		Student Date of Birth :
Student Mobile Number
2. Father's Name (English) :		Father's Name (বাংলা ):
Father's NID Number :		Father's Date of Birth :
Father's Mobile Number
3. Mother's Name (English) :		Mother's Name (বাংলা ):
Mother's NID Number :		Mother's Date of Birth :
Mother's Mobile Number
4. Permanent Address :
Village Name :		Post Office :
Upazilla :		District :
5. Present Address :
Village Name :		Post Office :
Upazilla :		District :
6. Nationality		7. Religion	Select Religion Islam Hindu Buddha Christian
8. Blood Group :
9. SSC Equivalent Examinations Detail :
SSC Board Roll:		SSC Reg Number:
Passing Year:	Select Year 2024 2023 2022 2021	Board	Select Board Dhaka Chittagong Cumilla Barishal Rajshahi Jessore Sylhet Dinajpur Mymensingh Madrasha Technical BOU
Group :	Select Group Scicnce Business Studies Humanities	GPA:
Session	Select Session 2023-24 2022-23 2021-22 2020-21	Previous School Name :
10. HSC Group :	Science	12. Occupation of guardian :
	Business Studies	13. Annual income of Guardian :
	Humanities	14. Quota (Select only one Option) :	Freedom Fighter
11. Complusory Subjects :	Bangla		Disabled
	English		Others
	Information And Communication Technology		None
Science Group Subject :	Select Subject 1 Physics Chemistry Biology Higher Math None
	Select Subject 2 Physics Chemistry Biology Higher Math None
	Select Subject 3 Physics Chemistry Biology Higher Math None
	Select Fourth(Optional) Subject Biology Higher Math Agricultural Studies None
Business Group Subject :	Select Subject 1 Accounting Business Organization and Management Production Management and Marketing None
	Select Subject 2 Accounting Business Organization and Management Production Management and Marketing None
	Select Subject 3 Accounting Business Organization and Management Production Management and Marketing None
	Select Fourth(Optional) Subject Economics Agricultural Studies None
Humanities	Select Subject 1 Sociology Civics and Good Governance Islamic History and Culture Economics None
	Select Subject 2 Sociology Civics and Good Governance Islamic History and Culture Economics None
	Select Subject 3 Sociology Civics and Good Governance Islamic History and Culture Economics None
	Select Fourth(Optional) Subject Economics Agricultural Studies None
আমি অঙ্গীকার করছি যে, (ক) উপরোক্ত তথ্য সমূহ সঠিক । (খ) কলেজের ন্যূনতম ৮০% ক্লাসে উপস্থিত থাকতে বাধ্য থাকব। (গ) কলেজের সকল বিধান সমূহ মেনে চলতে বাধ্য থাকব এবং কলেজের শান্তি-শৃঙ্খলা ও নিয়ম পরিপন্থী কাজে জড়িত থাকলে বা ভুল তথ্য প্রদান করলে কর্তৃপক্ষ প্রদত্ত যেকোনো শাস্তি গ্রহনে বাধ্য থাকব।

Student Signature					Signature of Guardian					Principal Signature

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