Program *

Session *

Group *

Available groups:

Read the terms and accept to continue.

I agree *

Student Name (English) *

Student Name (Bangla) *

Gender *

Religion *

Blood Group

Nationality *

Marital Status

Date of Birth *

Mobile *

Birth Registration No *

NID

Hobby

Extra Curriculum

Student Image *

Father Information

Name*

Mobile *

NID

Occupation

Qualification

Monthly Income

Mother Information

Name*

Mobile

NID

Occupation

Qualification

Monthly Income

Present Address

Village/Block/Area *

P.O*

P.S *

District *

Permanent Address

Village/Block/Area *

P.O *

P.S *

District *

Guardian Information

Relation *

Name *

Mobile *

NID

Email

Address

Reference Information

Name

Mobile

NID

Relation

E-mail

Address

SSC/Equivalent Information

SSC Board *

SSC Session *

SSC Passing Year *

Registration *

SSC Roll *

SSC GPA *

Hazera-Taju Degree College

B.Sc Chattar, Chandgaon, Chattogram

Application Form for Admission

Group

Session:

1. Students Information

Student Name (In English): Student Name (In Bangla): Blood Group: Religion: Gender: Date of Birth: Birth Registration No.: Nationality: Marital Status: Mobile No: NID: Hobby: Extra Curricular:

2. Father's Information

Father's Name: NID: Qualification: Occupation: Monthly Income: Yearly Income: Mobile No:

3. Mother's Information

Mother's Name: NID: Qualification: Occupation: Monthly Income: Yearly Income: Mobile No:

4. Total Yearly Income

Total Yearly Income (Father + Mother):

5. Address

Permanent Address: Vill/Block/Area: Post office: Thana: District:

Present Address: Vill/Block/Area: Post office: Thana: District:

6. Guardian's Information

Guardian's Name: NID: Relation: Mobile No: E-mail: Address:

7. Reference's Information

Reference Name: Relation: Mobile No: NID:

8. Educational Information

Exam name : SSC Roll No : Reg. No : Session : GPA : Passing Year : Board :

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Hazera-Taju Degree College

1. Students Information

2. Father's Information

3. Mother's Information

4. Total Yearly Income

5. Address

6. Guardian's Information

7. Reference's Information

8. Educational Information

9. Subject Information