Academic Information

Program * Select Program BA (Hons.) in EnglishBA (Hons.) in Islamic StudiesBachelor of Business AdministrationBachelor of Laws (LL.B)Bachelor of Management Information SystemBachelor of PharmacyBSc. in Biochemistry and BiotechnologyBSc. in Computer Science and EngineeringBSc. in Electrical and Electronic EngineeringBSc. in MicrobiologyBSc. in Textile EngineeringBSS (Hons.) in Library and Information ScienceMA in English Language and TeachingMA in Islamic Studies (Preli + Final)MA in Islamic Studies (Regular)Master of Laws (LL.M)MBA (1 Year)MBA (2 Years) and EMBAMS in Medical PhysicsMSc. in MMSEMSS in Library Management and Information SciencePGD in Library Management and Information Science

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Basic Information

Student Name *

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Father's Name *

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Mother's Name *

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Phone *

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Email *

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Gender * Select Male Female Other

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Date of Birth *

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Religion

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Nationality

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Marital Status Select Single Married Widowed Divorced Other

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Blood Group Select A+ A- B+ B- AB+ AB- O+ O-

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National ID

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Passport No

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Birth Reg. No. *

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Apply Date

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SSC/Equivalent Information

SSC/Equivalent Exam * Select SSC Dakhil SSC(Vocational)

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School/Institute Name *

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SSC/Equivalent Group * Select Science Commerce Humanities/Arts

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SSC/Equivalent Board * Select Barishal Chittagong Comilla Dinajpur Dhaka Jessore Rajshahi Sylhet Madrasah Technical

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SSC/Equivalent Exam Roll *

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SSC/Equivalent Exam Regno *

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Passing Year *

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SSC/Equivalent GPA *

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SSC/Equivalent GPA (Without 4th Subject) *

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HSC/Equivalent Information

HSC/Equivalent Exam * Select HSC Alim HSC(Vocational)

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College/Institute Name *

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HSC/Equivalent Group * Select Science Commerce Humanities/Arts

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HSC/Equivalent Exam Board * Select Barishal Chittagong Comilla Dinajpur Dhaka Jessore Rajshahi Sylhet Madrasah Technical

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HSC/Equivalent Exam Roll *

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HSC/Equivalent Exam Regno. *

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Passing Year *

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HSC/Equivalent GPA *

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HSC/Equivalent GPA (Without 4th Subject) *

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Bachelor Level Information

Bachelor Level Degree

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University/Institute Name

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Passing Year

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Regno/ID/Roll No.

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Bachelor Level Result

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Masters Level Information

Masters Level Degree

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University/Institute Name

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Passing Year

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Regno/ID/Roll No.

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Masters Level Result

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Photo & Signature

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Student Signature *: (Image size: 300x100 pixels)

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