RAJUK UTTARA MODEL COLLEGE

Sector-6, Uttara, Dhaka-1230

Student Information for Registration

Class : XI Session : 2020-21

Class Roll Group Shift Medium Section

SSC Information :
Board Name Passing Year Board Roll Reg. No.

Name (Capital Letter) :

Father’s Name (Capital Letter) :
Mother’s Name (Capital Letter) :
Date of Birth : Sex :
Religion : Home District :

Compulsory Sub & Code 1. Bang-I-101 2. Bang-II-102 3. Eng-I-107 4. Eng-II-108 5. ICT-275

Elective Sub & Code 6. 7. 8.

4th Sub & Code 9.

Date : Student Signature Guardian Signature

Mobile No :

Form Master Signature

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