৬ষ্ঠ শ্রেণি   : একজন শিক্ষার্থী একটি মাধ্যমে (বাংলা অথবা ইংরেজি) আবেদন করতে পারবে ।

নবম শ্রেণি : একজন শিক্ষার্থী বিজ্ঞান বিভাগে প্রভাতি ও দিবা শাখায় একটি মাধ্যমে (বাংলা অথবা ইংরেজি) আবেদন করতে পারবে।
    ব্যাবসায় শিক্ষা শাখায় আবেদনকারী শুধুমাত্র প্রভাতি শাখায় একটি মাধ্যমে (বাংলা অথবা ইংরেজি) আবেদন করতে পারবে।

Online Admission

XI Admission Form (2022-23)
Admission Information
Admission Circular :
The Class in Which Admission is Sought :
Shift :
Version :
Applicant’s information
Name of the Applicant in Bangla :  *  
Name of the Applicant in English :  *  
Sur Name :  *  
Birth Reg. Number :  *  
Date of Birth : Day: Month: Year:  *
(According to the Certificate)
 
Blood Group :  * Nationality : 
Gender :     * Religion :       *
     
Academic Information
Class/Exam :
Class/Exam Name :  *
(Example for Class: V/VI/VII/VIII etc.)    (Example for Exam: PEC/JSC/SSC etc.)
   
Institution Name:  *    
Institution Address:  *    
Education Board:  *  
Passing Year:  *  
Roll Number:  *  
Registration Number:  *  
GPA:  *    
Father’s INFORMATION
Father's Name In Bangla:  *  
Father's Name In English :  *  
Educational Qualification:   (Example: N/A or SSC, HSC, Bachelor's Degree, Master's Degree)
Father's Occupation :  *  
Organization Name :  *  
Designation :  *  
Yearly Income :  *  
Father's Mobile :  *  
Office Tel :
Father's NID :  *    
E-TIN Number :
Mother’s INFORMATION
Mother's Name In Bangla:  *  
Mother's Name In English :  *  
Educational Qualification:   (Example: N/A or SSC, HSC, Bachelor's Degree, Master's Degree)
Mother's Occupation :  *
Organization Name :  *
Designation :  *
Yearly Income :  
Mother's Mobile :   *  
Office Tel :  
Mother's NID : *  
ETIN Number :
GUARDIAN'S INFORMATION IN ABSENCE OF PARENTS
Guardian's Name in Absence of Parents :  *  
Relation With Student :  *  
Mobile Number :  *  
Address :  *  
NID :
SIBLING INFORMATION (if any)
Name :
Institution Name :
Class :
Roll (If Student of RAJUK) :
Date of Birth : Day: Month: Year:
(According to the Certificate)
   (All information of all siblings need to be added here.)
Select Twin Name Institution Class Birth Reg. No DOB (MM/DD/YYYY)
Present Address
Address :  *   Country :  *  
District :  *   Telephone :
Thana/Upazila : *   Mobile :
Postal Code : City :  *
Permanent Address
  (If Permanent & Present Address are same please in box)
Address :  *   Country :  *
District :  *   Telephone :
Thana/Upazila :  *   Mobile :
Postal Code :
Mobile Number to get Confirmation SMS
Address in Dhaka for correspondence :
Telephone No :
Mobile No :  * (For SMS & Further Communication)  
 
Emergency Contact No :  *  
 
Email :
Applicant's Photo
Applicant's Photo :
 
 *
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