Yours Free Application Writing

Application Form For Admission in Degree (Pass) Course (Regular)

(To be filled up by own hand of the candidate)

Name of college/institution: Govt. Sreenagar College                                                   College Code : 5702

Name of Course : B.S.S.                                                                                                      Session : 2008/2009

Name of course means B,A/B,S,S/B,B,S/B.Sc/B.Mus/B   Sports etc.

1.                    (a) Name of applicant (In Bengali) : mvewib nvwb

(One)                      Name of applicant in English (Capital Letters) : SABRIN HANI

2.                    Father’s Name : Dewan Abdul Hannan

3.                    Mother’s Name : Dilara Khanam Dalaya

4.                    Name, address (Telephone/Cell Phone in any) of guardian in absence of father : ..................................

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5.                    Permanent Address (In clear letters) : Village/Moholla : 400 No. New Jurain Alambag,

Post Office : Faridabad, Dhaka-1204, Shampur, District : Dhaka, Ph : 02-741444212

6.                    Present Address : Village/Moholla : House No.: 25/14, Flat-3B, Munshibari Road, Post Office : Jhekatala, Upazila/Police Station : Dhanmondi, District : Dhaka, Tel : 01719367664

7.                    Religion : Islam

8.                    Nationality : Bangladeshi

9.                    Date of birth as per passing of SSC/Equivalent examination : 25-07-1988 AD

10.                 Education Qualification :

Name of Exam.	Board/ University	Name of institution/college from where he/she has passed	Year of Exam.	Roll No.	Class/Grade (In word)
a) SSC/Equivalent	Dhaka	Komolpur Hazi Johiruddin High School, Bhoirob.	2003	145361	2.89
b) HSC/Equivalent	Dhaka	Kazi Asmot College, Bhoirab	2006	348982	2.20
c) Others

N.B. : (1) Incomplete application will not be considered for admission.

          (2) The applicant student shall have to enclose a PP size Photo (Attested), photocopy of all academic

                certificate (Attested) should be enclosed with this application.

11.                 Break of study and cause of it (If he/she was expelled or failed in any examination must be mentioned

      that).