Government Rupnagar Model School and College
Rupnagar, Dhaka, Bangladesh

College Admission Form (Blank Copy)

Form ID

Personal Information

Full Name * 
বাংলায় নাম * 
Father's Name 
Mother's Name 
Date of Birth * 
GenderMale ☐ Female ☐
Blood GroupA+ ☐ A- ☐ B+ ☐ B- ☐ O+ ☐ O- ☐ AB+ ☐ AB- ☐
Nationality 
Religion 
Mobile * 
Email 

Address

Present Address 
Permanent Address 
Permanent District 
Same as present

Program Applied For

Session *2025-26
GroupScience ☐ Humanities ☐ Business Studies ☐
Preferred Subjects 

Academic Records

SSC / Equivalent
ExamSSC ☐ Dakhil ☐ Vocational ☐
Board 
Roll 
Registration 
Year 
GPA 
Institution 

Uploads

Photo (JPEG/PNG, ~300x350) 
Signature (JPEG/PNG) 

Payment

Fee Receipt No. 
Amount (BDT) 
Date 

Declaration

I declare that the information provided is true and correct. I understand that providing false information may result in cancellation of admission.
Applicant's Signature: ______________________
Date: ____________
Simple Barcode Box (8 digits will appear after confirmation)
00000000

Back Page – Subject Choice & General Instructions

Subject Choice

Please tick/select your intended subject(s) according to the approved curriculum:

GroupCompulsory SubjectsOptional Subjects (Choose any 1)
ScienceBangla, English, ICT, Physics, ChemistryBiology / Higher Mathematics
HumanitiesBangla, English, ICT, Civics, HistoryEconomics / Sociology
Business StudiesBangla, English, ICT, Accounting, Business OrganizationFinance / Marketing

General Instructions

  1. Applicants must fill the form accurately and legibly. Any false information may cancel admission.
  2. Attach photocopies of all academic transcripts, testimonials, and certificates with the printed form.
  3. Two recent passport-sized photographs, duly attested, must be attached.
  4. Attach receipt of admission test/registration fee with this form.
  5. Incomplete forms will not be accepted under any circumstances.
  6. Admission is subject to verification of original documents at the time of enrollment.
  7. Follow the notice board/college website for admission test dates and merit list publication.
This page must be printed along with the admission form and submitted to the college office.