استمارة القبول الإلكترونية

تُملأ هذه الاستمارة باللغة البنغالية أو الإنجليزية. للمساعدة في التقديم اتصلوا بمكتب المدرسة أو راسلوه عبر واتساب: +880 1783-994389

Names can be written in Bengali or English. For help with the form, call or WhatsApp the office: +880 1783-994389

১11

بيانات الطالب

শিক্ষার্থীর তথ্য

Student

Student Info

Student's name (in Bengali) * Write the name in Bengali

Student Name (English) * Please enter name in English

Email address * Enter a valid email address The confirmation is emailed to this address

Date of birth * Choose the date of birth

Student's photo (passport size) *

Choose a photo or drag it here
JPG, PNG, up to 5MB

Birth registration Optional

Upload the birth certificate
JPG, PNG

২22

بيانات الوالد

পিতার তথ্য

Father

Father's Info

Father's name *

Mobile number 11-digit mobile number

Occupation

— Choose an occupation — Employed Business Teacher Doctor Working abroad Farmer Day labourer Deceased Other

National ID card Optional

Upload the NID
JPG, PNG

৩33

بيانات الوالدة

মাতার তথ্য

Mother

Mother's Info

Mother's name *

Mobile number

Occupation

— Choose an occupation — Homemaker Employed Teacher Doctor Deceased Other

National ID card Optional

Upload the NID
JPG, PNG

৪44

بيانات ولي الأمر

অভিভাবকের তথ্য

Guardian

Guardian (Optional)

Fill this in if the father is not available

Guardian's name

Mobile number

Guardian's address

৫55

معلومات إضافية

ভর্তি সংক্রান্ত তথ্য

Admission details

Admission Details

Class applied for *

— Choose a class — Maktab 1 Maktab 2 Ibtedaie 1 Ibtedaie 2 Ibtedaie 3 Ibtedaie 4 Ibtedaie 5 Dakhil 6 Dakhil 7 Dakhil 8 Dakhil 9 Dakhil 10 Alim year 1 Alim year 2 Hifz department

Yearly family income (taka) *

Permanent address *

Residential or day *

Residential

Lives in the hostel

Day student

Comes from home each day

Send the application Start again

Your information is kept safe and private. After you send the form, a confirmation is emailed to you.