Kushtia Govt.

College
www.kushtiagovcollege.edu.bd
Admission Form
Group: HSC - Humanities
Session: 2023-2024
Track No: 1303

EIIN: 117808 Class Roll: 1202324020297 Security Code/PIN:

Transaction No: 728AIIWF (nagad) Application Date: 05-Oct-2023 Merit Position:

01. Student Name (English) : RUBAIYA AKTAR (বাংলায়) : বাইয়া আার

Student's NID/Birth Reg. : 20085017125055203
Student's Phone : 01740406275

02. Father's Name : MD. ABDUR RAKIB

Father's NID : 1004925333
Father's/Guardian's Phone : 01718773801

03. Mother's Name : MST. RAHANA PERVIN

Mother's NID : 7760076880
Mother's Phone : 01740406275

04. Permanent Address : Sewriya Mondolpara, Mohini Mills, Kumarkhali District: Kushtia

05. Present Address : Sewriya Mondolpara, Mohini Mills, Kumarkhali District: Kushtia

06. Local Guardian Name, Address & Phone :

07. Nationality : Bangladeshi

08. Father's Occupation : Farmer 11. Father's Annual Income : 120000
09. Date of Birth : 22-Jan-2008 12. Quota :
10. Religion : Islam 13. Blood Group : A+

14. SSC & HSC/Equivalent Examinations Detail :

Exam Name Exam Roll Reg No Session Division Exam Year Board/Instit. GPA
SSC/Equivalent 126563 2013575084 2021-2022 SSC - Science 2023 JESSORE 5.00

15. Subject List

Subject Code Subject Name Subject Type
101 Bangla 1st paper mandatory
107 English 1st paper mandatory
275 ICT mandatory
117 Social Science 1st paper elective
269 Civics 1st paper elective
304 History 1st paper elective
109 Economics 1st paper fourth

16. আিম অীকার করিছ য,

/

ক) উপের বিণত তথসমূ হ সত ও সিঠক। খ) কেলেজর নূ নতম ৮০% ােস উপিত থাকেত বাধ থাকব। গ) আিম কেলেজর িবধান সমূ হ মেন চলেত বাধ থাকব /

এবং কেলেজর শাি-শৃ লা ও িনয়ম পিরপী কােজ জিড়ত থাকেল বা ভূ ল তথ দান করেল কতৄপ দ য কান শাি হেন বাধ থাকব।

17. Admission Fee: TK.1957/=

Student's Signature Signature of Convenor Signature of Principal