Notre Dame College Association of RUET Rec No.

For Office Use Only

:

(NDCAR) Reg. Code :

Date : ........../........../...............

Application Form
(1) This application form should be duly filled and send to Student Co-ordinator of NDCAR along with one
passport-size photograph of the applicant.
(2) Every applicant must provide the recruitment fee with this form.
(3) NDCAR will not consider your application if you fail to submit all of the above items.
(4) All decisions taken by NDCAR committee about membership confirmation will be considered as final decision.

# Personal Information :

1. Name : ....................................................................................................

2. Father’s Name : .................................................................................................... Attach a passport

size photograph
3. Date of Birth : .............../............../................ Gender : ................................ with glue
4. Present Address : ....................................................................................................

....................................................................................................

5. Permanent Address : ....................................................................................................

....................................................................................................

6. Blood Group : ....................................................................................................

# Academic Information :

1. Department : ..................................................... College Roll : ....................................................................

2. RUET Roll No. : ....................................... Series : ................................. Session : ..........................................

# Contact Information :

1. Phone Number : ......................................................................................................................................................

2. E-mail Id : ......................................................................................................................................................

I certify that all information provided as part of this application form is true and correct.

Signature of Applicant

Signature of President Signature of General Secretary