Student Admission Form

(If any incorrect information is provided, the application will be canceled. Irrelevant sections or words should be struck through.)

1. Student Information

Student's Name (Bangla): *

Birth Registration No: *

Student's Name (English - CAPS): *

Gender: *

Class Applying For: *

Passport Size Photo (Student): * Max file size: 2MB. Format: jpg, jpeg, png.

2. Birth Details

Date of Birth: *

Emergency Phone No:

3. Nationality & Religion

Nationality: *

Religion: *

Blood Group:

Birth Place (District):

4. Father's Information

Father's Name (Bangla):

Profession:

Father's Name (English - CAPS): *

Phone:

5. Mother's Information

Mother's Name (Bangla):

Profession:

Mother's Name (English - CAPS): *

Phone:

6. Present Address

Full Present Address: *

District:

Thana / Upazila:

7. Permanent Address

Full Permanent Address:

8. Army Personnel Details (If Applicable)

Is Father/Mother an Army Personnel?: *

Yes

9. Local Guardian (If Father/Mother Not Present)

Guardian's Name:

Relationship with Student:

Guardian's Address:

10. Previous Exam Results

Class:

Bangla Marks:

English Marks:

Math Marks:

11. Previous School Information

Previous School Name & Address:

Date of Leaving Previous School:

Reason for Leaving:

Transfer Certificate (TC) Provided?: *

Yes

12. Desired Subjects (Class 9 & 10 Only)

Subjects willing to take:

13 & 14. Declarations

Student's Declaration: I am applying for admission to এই প্রতিষ্ঠান. I promise to abide by the rules and regulations of the college. I will accept any punishment given by the college authorities if I violate them. I will accept the college authority's decision regarding promotion to a higher class if I fail the annual examination.

Parent's/Guardian's Declaration: I declare that my daughter/ward (Student Name: ______________________) will abide by the rules and regulations of the institution, and all the information provided above is correct and accurate. I will accept all orders of the Principal if the student engages in any unfair means or activities contrary to the discipline of the institution.

I agree to the above declaration. *

Date: