College Admissions Form
Enter your admission information below
Personal Information
Full Name
required!
required!
Father name
required!
Date of Birth
required!
Gender
--select--
Male
Female
Other
required!
Class
---select--
12 (Commerce)
11 (Commerce)
12 (Science)
11 (Science)
12 (Arts)
11 (Arts)
required!
Section
--select--
A
B
C
required!
Photo
Contact Information
Phone number
Please enter a valid phone number.
Email
required!
Address
required!
City
required!
required!
State
Bangladesh
required!
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Emergency Contact Details
Guardian name
required!
Phone number
Please enter a valid phone number.
Address
required!
City
required!
required!
Relationship to Student
required!
Additional Information
Do you speak any languages other than English?
Yes
No
Please list them
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Review Your Information
Personal Information
Full Name:
Father's Name:
Date of Birth:
Gender:
Class:
Section:
Contact Information
Phone:
Email:
Address:
City:
State:
ZIP Code:
Emergency Contact
Name:
Relationship:
Phone:
Address:
City:
ZIP Code:
Additional Information
Other Languages:
Languages List:
I certify that all information provided is accurate and complete to the best of my knowledge.
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