Royal Academy of International Skills Development-RAISD

Bashundhara, Dhaka-1229
ADMISSION FORM
Course Name: Professional Baking Chef Course Duration: 4 Months
Student ID No. 06-PC/ B22-2023

STUDENT’S BASIC INFORMATION

Student's Name SAMIA MOSTAFA Mobile No. 01311073910

Email address MOSTOFASAMIA@GMAIL.COM NID No. 1963851678

STUDENT’S PERSONAL INFORMATION

MD. MOSTAFA HOWLADAR
Parent’s Name Mobile No. 01779657537
BEAUTY MORIAM
LG’s Name n/ a Mobile No. N/ A

Blood Group O (+)VE NID No.

Gender
Marital Status Un-Married Female

Address HOUSE: KA-42; Nadda purbopara Society; Gulshan-2, Dhaka-1212

STUDENT ACADEMIC INFORMATION

Educational
Bachelor Passing Year 2022
Qualification
Institution Name North South University

DECLEARATION:
I declare that the information given above is correct. I hereby agree that I will not cause any type of
inconvenience to arise which may stem from any kind of wrong information having been provided. As such I
will respect any decision taken by the school authority. Also, I will pay all dues of RAISD on time and as per
schedule of RAISD.

_________________ _________________
Student’s Signature Parent’s Signature
Date: ......./......./........ Date: ......./......./........

FOR MANAGEMENT USE ONLY:

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 For Administration Use Only
1. Total Payable Amount:
Admission Course Fees DRESS (-) Discount Grand Total
BDT.1000.00 BDT. BDT.2500.00 BDT.

2. Payment Type: (Please tick as applicable)

One Time Full Payment Two (2) Installments Three (3) Installments

3. Mode of Payment (MoP): (Please tick as applicable)

CASH MFS Check Bank Transfer

bKash 01819120078

4. Payment Schedule:
DUE Date Details Amount Paid On MoP Ref.
Admission BDT.

2nd Installment BDT.

3rd Installment BDT.

5. Document Checklist: (Please tick as applicable)

i. Photo ii. NID iii. Educational Certificate iv. Copy of Check/ s
6. Registration for BTEB Examination:
Date Number Exam Date Result

7. Certificate:
Certificate Type Date of Handover Handed over to Signature with date

RAISD
BTEB
8. Registration for RAISD Alumni Association:
Date of Registration Registration No. Registration Fees
BDT.

___________________________
Admission officer Signature
Date: ........./…...../….......

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