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  • Admission Form

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    Jahid Hasan
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    This document contains an application form for Eastern University. It requests information such as the student's name, date of birth, contact details, address, emergency contact, academic records, signature and date. It also lists the program and semester being applied for, as well as spaces to provide money receipt transaction IDs for the admission fee and form.

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    This document contains an application form for Eastern University. It requests information such as the student's name, date of birth, contact details, address, emergency contact, academic records, signature and date. It also lists the program and semester being applied for, as well as spaces to provide money receipt transaction IDs for the admission fee and form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    15 views1 page

    Admission Form

    Uploaded by

    Jahid Hasan
    This document contains an application form for Eastern University. It requests information such as the student's name, date of birth, contact details, address, emergency contact, academic records, signature and date. It also lists the program and semester being applied for, as well as spaces to provide money receipt transaction IDs for the admission fee and form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Road 6, Block B, Ashulia Model Town, Akran, Savar, Dhaka-1345

    Phone: 09602666651; Helpline: +8801741300002 +8801844169659 +8801844169659


    Email: admission@easternuni.edu.bd

    Please affix one


    passport size
    photograph

    ID: Semester: Spring / Summer / Fall - 20………

    Program: Date of Admission:


    Money Receipt/ Trx ID (Form):

    Money Receipt/ Trx ID (Admission Fee):

    Name of the Student (in BLOCK letters):……………………………………………………………………………………………

    Date of Birth:.………………………..…….., Blood Group:……………………, Home District:……………………………….,

    Cell No.:…………………………………………, E-mail:………………………………………………………………………………….…….

    Present Address:

    Flat/Apt. No……………………………….., House No.:……………………..………, Road No.:…………………….………….,

    Area/Village:………………………………, Post Office:……………………………., Post Code:………………………………,

    Police Station:…………………………….., District:……………………………………., Country:………………………..………..,

    Emergency contact person:

    Name: ……………………………………………………………………….……., Cell No.:…………………………………………………..

    Academic records:

    Name of the Board/


    Institution Result Year
    Examination University
    SSC/Dakhil

    HSC/Alim/Diploma

    Bachelor’s Degree

    Master’s Degree

    Signature of the student: Date:

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