Student Admission Form

Admission Information

Class* :
Version/Medium* :
Shift *:
Session* :
Username* :
Password* :
Confirm Password* :
Student Type* :
Defense Type* :
Name* :
Rank* :
Unit* :
Unit Location* :
Subject Group *:

Student's Information

Student's Name (In English)* :	(Block Letter and As in SSC Certificate)
শিক্ষার্থীর নাম (বাংলায়)* :	(এসএসসি সার্টিফিকেট/সনদ অনুযায়ী লিখতে হবে)
Date of Birth(Y-m-d)* :	(According to SSC)
Birth Registration No.* :
Nationality* :		Religion* :
Physical Condition* :	Fit Sick
If physically sick, mention the health hazard* :
Mobile No. (Student) :
Gender* :	Male Female	Blood Group*:
Select Picture* :	[max_size : 300 KB] [max_width : 300px] [max_height: 320px]
Sibling studies in this Institution * :	Yes No
Name* :		Name* :
Class* :		Class* :
Form* :		Form* :
Roll* :		Roll* :

SSC Institution * :

Father's Information

Father's Name* :
Nationality* :
National ID.* :
Mobile* :
Occupation * :
Designation * :
Office/Institution *:
Workstation Address * :
Monthly Income * :

Mother's Information

Mother's Name* :
Nationality* :
National ID.* :
Mobile * :
Occupation * :
Designation *:
Office/Institution * :
Workstation Address* :
Monthly Income *:

Local Guardian Information

Father as local guardian:
Mother as local guardian:

Relationship Name * :
First Name *:
Last Name * :
Monthly Income * :
Occupation *:
Designation *:
Nationality *:
Mobile *:
Address* :

Present Address

Address* :
District *:
Thana *:
Post *:

Permanent Address

Do :
Address* :
District *:
Thana *:
Post *:

N.B. (Important Notes):
1. Incorrect / Incomplete application will be considered as invalid.
2. After submission, no further updates to the information will be allowed.

Selective Subjects (200 + 200 + 200 = 600):	Physics (200) Chemistry (200) Choose one for #6: Higher Mathematics (200) Biology (200)
Optional Subject (choose 1) (200):	Higher Mathematics (200) Biology (200) Statistics (200) Agriculture Science (200) Engineering Drawing (200)

Selective Subjects (200 + 200 + 200 = 600):	Accounting (200) Business Organization & Management (200) Choose one for #6: Finance, Banking & Insurance (200) Production Management & Marketing (200)
Optional Subject (choose 1) (200):	Finance, Banking & Insurance (200) Production Management & Marketing (200) Statistics (200) Agriculture Science (200)

Selective Subjects (200 + 200 + 200 = 600):	Civics & Good Governance (200) Economics (200) Sociology (200)
Optional Subject (choose 1) (200):	Islamic Studies (200) Statistics (200) Agriculture Science (200)

SSC Roll* :		SSC Reg* :
SSC Board* :		SSC Group* :
SSC GPA* :		Total Marks* :
SSC Passing Year* :

Rajshahi Cantonment Public School & College

Admission Form