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Admission Form

This document contains an admission form for M. Wali Ullah to the 1st year of a Bachelor's program at National University. It provides personal details like his name, father's name, birthdate, addresses, and academic history. It also specifies that he was admitted to Govt. Haraganga College in 2020-2021 for the Science group, with a merit position of 3 in the 2nd release slip. The form requires signatures from the student, guardian, department head and college principal.

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Wali Ullah
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0% found this document useful (1 vote)
3K views2 pages

Admission Form

This document contains an admission form for M. Wali Ullah to the 1st year of a Bachelor's program at National University. It provides personal details like his name, father's name, birthdate, addresses, and academic history. It also specifies that he was admitted to Govt. Haraganga College in 2020-2021 for the Science group, with a merit position of 3 in the 2nd release slip. The form requires signatures from the student, guardian, department head and college principal.

Uploaded by

Wali Ullah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Admission Form - Student's Copy
  • Admission Form - College Copy

National University Group SCIENCE

1st year Bachelor's (Hons) Admission Roll 3130185


Admission: 2020-2021 Merit Position in College
(in 2nd Release Slip) 3
For Official Use Only

Class Roll

Admission Date

Admission Form - 2nd Release Slip (STUDENT'S COPY)

College Name Govt. Haraganga College College Code 5701


Assigned Subject ENGLISH (1101)
Govt. Haraganga College, Govt. Tolaram College, Bikrampur Adarsha College, Malkhanagar College, Govt. Sreenagar College
College choice
ENGLISH, MATHEMATICS
Subject Choice

Name M. WALI ULLAH Gender Male


Father's Name MD SIDDIQ ULLAH Religion Islam
Mother's Name MST KARIMA KHATUN Nationality Bangladesh
Birth Date 19/02/2002 Mobile No. 01724646366 Marital Status Unmarried
Guardian's Name MD SIDDIQ ULLAH Guardian's Mobile No. 01716729805
Father's/Mother's/Guardian's Annual Income (Tk) 385000

SSC/ Equivalent Roll 140445 Board DHAKA Year 2018 GPA 5


HSC/ Equivalent Roll 169507 Board DHAKA Year 2020 GPA 5

Permanent Address Present Address


Omorpur, Chorfession, Bhola Ichapura, Sirajdikhan, Munshiganj

District Bhola District Munshiganj

I, M. WALI ULLAH, do hereby declare that the above mentioned information and photo are correct. If any
information provided by me is found false, National University reserves the right to cancel my admission. I
shall be obliged to obey the rules and regulations of National University as well as my college and to pay all
the required fees.

________________________________________ ________________________________________
Signature of the Student & Date Signature of Father/Mother/Guardian & Date

________________________________________ ________________________________________
Seal, Signature of Dept. Head & Date Seal, Signature of College Principal & Date

Generated on : Thu Dec 09 21:10:23 BDT 2021


National University Group SCIENCE
1st year Bachelor's (Hons) Admission Roll 3130185
Admission: 2020-2021 Merit Position in College
(in 2nd Release Slip) 3
For Official Use Only

Class Roll

Admission Date

Admission Form - 2nd Release Slip (COLLEGE COPY)

College Name Govt. Haraganga College College Code 5701


Assigned Subject ENGLISH (1101)
Govt. Haraganga College, Govt. Tolaram College, Bikrampur Adarsha College, Malkhanagar College, Govt. Sreenagar College
College choice
ENGLISH, MATHEMATICS
Subject Choice

Name M. WALI ULLAH Gender Male


Father's Name MD SIDDIQ ULLAH Religion Islam
Mother's Name MST KARIMA KHATUN Nationality Bangladesh
Birth Date 19/02/2002 Mobile No. 01724646366 Marital Status Unmarried
Guardian's Name MD SIDDIQ ULLAH Guardian's Mobile No. 01716729805
Father's/Mother's/Guardian's Annual Income (Tk) 385000

SSC/ Equivalent Roll 140445 Board DHAKA Year 2018 GPA 5


HSC/ Equivalent Roll 169507 Board DHAKA Year 2020 GPA 5

Permanent Address Present Address


Omorpur, Chorfession, Bhola Ichapura, Sirajdikhan, Munshiganj

District Bhola District Munshiganj

I, M. WALI ULLAH, do hereby declare that the above mentioned information and photo are correct. If any
information provided by me is found false, National University reserves the right to cancel my admission. I
shall be obliged to obey the rules and regulations of National University as well as my college and to pay all
the required fees.

________________________________________ ________________________________________
Signature of the Student & Date Signature of Father/Mother/Guardian & Date

________________________________________ ________________________________________
Seal, Signature of Dept. Head & Date Seal, Signature of College Principal & Date

Generated on : Thu Dec 09 21:10:23 BDT 2021

National University
1st year Bachelor's (Hons)
Admission: 2020-2021
Group
SCIENCE
Admission Roll
3130185
Merit Position in Co
National University
1st year Bachelor's (Hons)
Admission: 2020-2021
Group
SCIENCE
Admission Roll
3130185
Merit Position in Co

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