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Information

Student’s Name : ..................................................................................... Photo


Father’s Name/Legal Guardian: ....................................................................... 45 mm × 35 mm
Mother’s Name : .....................................................................................
Class Roll : ......................................... GPA: .............................
Vill/Area/Road : .....................................................................................

Post office : ......................................... Post code: ................................................


Upozila : ......................................... Home District: .........................................
Date of Birth : ......................................... Gender : Male
Religion : .........................................
Relationship with Guardian: .................................
Nationality : ......................................... Country Name: .......................................
Group / Section : ......................................... Medium : ................................................

Compulsory Code Elective Subject Code Fourth Subject Code


Subject
(i) Bangla (i) (i)
(ii) English (ii) ------------------ ---------

------------------ --------- (iii) ------------------ ---------

Phone / Mobile No.-

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