MANARAT DHAKA INTERNATIONAL COLLEGE (MDIC) ‘s Plot No,(CEN) # 16,Road No. # 104, Gulshan, Dhaka-1212 oeteaniate’s & Phone :9895839,9896074, Fax :880-2-9881422 Ot one) copy = Pees passport size SeialNo: g7q9g Application Form «alr photo RollNo, a Name ofthe Appl | Manipal | father's Name Profession]: |_Mother's Name Profession | _| | Present Address Permanent Address |: Contact No. Date of Birth | Place of Birth |: Nationality | [Blood Group | : Class to be admitted] :| | [Religion ): [ Last schoo! attended ffany) uA 2 ‘Own Brother/Sister in MDIC |: Name(s) Class(es) Date: Guardian's/Applicant’ Signature MANARAT DHAKA INTERNATIONAL COLLEGE (MDIC) Plot No. (CEN) # 16, Road No. # 104, Gulshan, Dhaka-1212 ) Phone :9895839,9896074, Fax 880-2:9881422 velar i Admit Card bles Serial No. 97025 ee colorphoto | Name ofthe Applicant | Guardian's Name [ class tobe admitted]: Administrative OfficeraCe Ea eae a eet] 1. Father's Details Father's Name Occupation Designation Name of Organization : 2, Mother's Details Mother’sName * Occupation Designation Name of Organization : 3. Siblings Details (For Running Student) : Class: Section: -«.« Student Code: (Applied for another class} Application Number: 4. Previous School det Name of School Previously Passed Class: 5. Attachments: i. Acopy of birth certificate ii. Report card of result of previous class ill, A copy of passport size picture ‘.B: Without the above mention documents, the application will not be accepted.