Admission

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Student Information

Student Name (En)*

Student Name (Bn)*

Student Dob No

Date of Birth

E-mail

Gender

Religion

Blood Group (Optional)

Nationality

Academic Session*

Class

Student Photo

Parent’s Information

Father’s Name (En)

Father’s Name (Bn)

Father’s Occupation

Father’s Monthly Income

Mother’s Name (En)

Mother’s Name (Bn)

Mother’s Occupation

Mother’s Monthly Income

Parent’s Phone Number

Address Information

Present Address

Permanent Address

Guardian Information

Guardian Name

Phone Number

Relationship With Student

Address

Payment Information

Sender Number

Transaction ID

Jathalia, Fulbaria, Kaliakoir, Gazipur, Dhaka, Bangladesh.

+8801716130981

s133967@hotmail.com

ইআইআইএন নং : 133967

স্কুল কোড : 2162