School Management System

EIIN : 112233 | www.schooling.picodeit.com

Mirzapur, Tangail 1940.

Student Admission Form

Student Photo

Must be write (*) Star marked fields

1. Student Information
First Name (Eng) * Last Name (Eng) * First Name (Ban) Last Name (Ban)
Phone * Email Address Date of Birth * (dd-mm-yy) Gender * ( āϟāĻŋāĻ• - ✓ )Male / Female
Religion * ( āϟāĻŋāĻ• - ✓ ) or Write Islam / Hindu / Blood Group ( āϟāĻŋāĻ• - ✓ )A+ / A- / B+ / B- / AB+ / AB- / O+ / O-
2. Class Information
Academic Session * Class Applying For * Section Roll (If Existing)
3. Parent's Information *
Father Name (Eng) * Father Name (Ban) Father Profession * Father NID
Mother Name (Eng) * Mother Name (Ban) Mother Profession * Mother NID
Guardian Name * Guardian Phone *
4. Address * (Present and Permanent Address āϝāĻĻāĻŋ āĻāĻ•āχ āĻšā§Ÿ āϤāĻŦ⧇ Present āϞāĻŋāϖ⧇ Permanent āĻ āϟāĻŋāĻ• - ✓ āĻĻāĻŋāύ )
Present Address

Division * :

District *

Upazila *

Post Office *

Village/Local Area *

Permanent Address

Division * :

District *

Upazila *

Post Office *

Village/Local Area *

5. Quota, Previous School & Document Information

Birth Certificate Number *

Quota (āĻŽā§āĻ•ā§āϤāĻŋāϝ⧁āĻĻā§āϧāĻž/āĻĒā§āϰāϤāĻŋāĻŦāĻ¨ā§āϧāĻŋ/āχāĻ¤ā§āϝāĻžāĻĻāĻŋ):

Previous School Name/Address:

āφāĻŽāĻŋ āĻāϤāĻĻā§āĻŦāĻžāϰāĻž āĻ˜ā§‹āώāĻŖāĻž āĻ•āϰāĻ›āĻŋ āϝ⧇, āωāĻĒāϰ⧇ āĻĒā§āϰāĻĻāĻ¤ā§āϤ āϏāĻ•āϞ āϤāĻĨā§āϝ āφāĻŽāĻžāϰ āĻœā§āĻžāĻžāύ āĻ“ āĻŦāĻŋāĻļā§āĻŦāĻžāϏ āĻ…āύ⧁āϝāĻžāϝāĻŧā§€ āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āϏāĻ¤ā§āϝ, āϏāĻ āĻŋāĻ• āĻ“ āύāĻŋāĻ°ā§āϭ⧁āϞāĨ¤ āφāĻŽāĻŋ āĻ…āĻŦāĻ—āϤ āφāĻ›āĻŋ āϝ⧇, āĻĒā§āϰāĻĻāĻ¤ā§āϤ āϕ⧋āύ⧋ āϤāĻĨā§āϝ āĻŽāĻŋāĻĨā§āϝāĻž, āϭ⧁āϞ āĻŦāĻž āĻ…āϏāĻ¤ā§āϝ āĻĒā§āϰāĻŽāĻžāĻŖāĻŋāϤ āĻšāϞ⧇ āĻ•āĻ°ā§āϤ⧃āĻĒāĻ•ā§āώ āφāĻŽāĻžāϰ āĻ­āĻ°ā§āϤāĻŋ āφāĻŦ⧇āĻĻāύ/āĻ­āĻ°ā§āϤāĻŋ āĻŦāĻžāϤāĻŋāϞ āĻ•āϰāĻžāϰ āĻ…āϧāĻŋāĻ•āĻžāϰ āϏāĻ‚āϰāĻ•ā§āώāĻŖ āĻ•āϰ⧇āύāĨ¤

Date:

Applicant's Signature (Parent/Guardian)


*** Official Use Only ***

Admission Form Received Copy (Applicant's Slip)
Session: Class: Section: Form No:

Receiver's Signature