| Full Name * | |
| বাংলায় নাম * | |
| Father's Name | |
| Mother's Name | |
| Date of Birth * | |
| Gender | Male ☐ Female ☐ |
| Blood Group | A+ ☐ A- ☐ B+ ☐ B- ☐ O+ ☐ O- ☐ AB+ ☐ AB- ☐ |
| Nationality | |
| Religion | |
| Mobile * | |
| Present Address | |
| Permanent Address | |
| Permanent District | |
| Same as present | ☐ |
| Session * | 2025-26 |
| Group | Science ☐ Humanities ☐ Business Studies ☐ |
| Preferred Subjects |
| SSC / Equivalent | |
|---|---|
| Exam | SSC ☐ Dakhil ☐ Vocational ☐ |
| Board | |
| Roll | |
| Registration | |
| Year | |
| GPA | |
| Institution | |
| Photo (JPEG/PNG, ~300x350) | |
| Signature (JPEG/PNG) |
| Fee Receipt No. | |
| Amount (BDT) | |
| Date |
Please tick/select your intended subject(s) according to the approved curriculum:
| Group | Compulsory Subjects | Optional Subjects (Choose any 1) |
|---|---|---|
| Science | Bangla, English, ICT, Physics, Chemistry | Biology / Higher Mathematics |
| Humanities | Bangla, English, ICT, Civics, History | Economics / Sociology |
| Business Studies | Bangla, English, ICT, Accounting, Business Organization | Finance / Marketing |